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General NPI Number Information
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NPI Number | 1194179812
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Entity Type | Organization
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Legal Business Name | TLC COUNSELING PLLC
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 133 KEYBRIDGE DR SUITE G
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City | MORRISVILLE
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State | NC
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Zip | 27560-5915
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Country | US
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Telephone | 919-342-8950
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Fax | 919-867-2999
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Provider Business Mailing Address
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Address Line | 133 KEYBRIDGE DR SUITE G
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City | MORRISVILLE
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State | NC
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Zip | 27560-5915
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Country | US
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Telephone | 919-342-8950
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Fax | 919-867-2999
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Authorized Official
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Title or Position | OWNER AND THERAPIST
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Name | TARA CONNORS
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Credential |
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Telephone | 919-342-8950
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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 | 10000
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License Number State | NC
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