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General NPI Number Information
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NPI Number | 1184203069
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Entity Type | Organization
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Legal Business Name | VWL COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 900 GRANBY ST STE 218
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City | NORFOLK
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State | VA
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Zip | 23510-2568
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Country | US
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Telephone | 757-822-9139
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Fax |
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Provider Business Mailing Address
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Address Line | 215 RESERVOIR LN # 169
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City | SUFFOLK
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State | VA
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Zip | 23434-4456
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Country | US
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Telephone | 757-822-9139
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | VONDA WARREN-LILLY
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Credential |
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Telephone | 757-822-9139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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