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General NPI Number Information
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NPI Number | 1174172589
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Entity Type | Organization
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Legal Business Name | INSIGHT THERAPEUTIC AND WELLNESS SOLUTIONS, PLLC
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 2224 LACY ST
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City | BURLINGTON
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State | NC
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Zip | 27215-5341
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Country | US
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Telephone | 336-270-9562
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Fax | 336-585-7522
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Provider Business Mailing Address
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Address Line | 2224 LACY ST
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City | BURLINGTON
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State | NC
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Zip | 27215-5341
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Country | US
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Telephone | 336-270-9562
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Fax | 336-585-7522
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Authorized Official
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Title or Position | CEO
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Name | JULIE ANDREWS
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Credential | LCMHC
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Telephone | 336-270-9562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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