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General NPI Number Information
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NPI Number | 1174612709
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Entity Type | Organization
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Legal Business Name | ASSOCIATED EDUCATIONAL SERVICES OF VA., INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 9097 ATLEE STATION RD STE 101
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2525
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Country | US
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Telephone | 804-321-2777
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Fax | 877-794-2511
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Provider Business Mailing Address
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Address Line | 9097 ATLEE STATION RD STE 101
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2525
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Country | US
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Telephone | 804-321-2777
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Fax | 877-794-2511
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Authorized Official
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Title or Position | CEO
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Name | MR. PURCELL C BRANCH
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Credential |
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Telephone | 804-321-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 258
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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