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General NPI Number Information
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NPI Number | 1174392609
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Entity Type | Organization
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Legal Business Name | REJUVE COUNSELING & CONSULTING PLLC
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Dates
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Enumeration Date | 12/26/2023
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 7 CORPORATE CENTER CT STE B
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City | GREENSBORO
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State | NC
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Zip | 27408-3839
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Country | US
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Telephone | 336-451-7739
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 SHALIMAR DR
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City | HIGH POINT
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State | NC
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Zip | 27262-4532
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Country | US
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Telephone | 336-451-7739
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAUNTE' JOHNSON
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Credential |
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Telephone | 336-451-7739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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