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General NPI Number Information
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NPI Number | 1194229245
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Entity Type | Organization
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Legal Business Name | THE WELLING PLACE LLC
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 2525 RAEFORD RD STE C
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5092
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Country | US
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Telephone | 910-759-3031
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Fax |
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Provider Business Mailing Address
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Address Line | 4603 KEG CT
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2473
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Country | US
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Telephone | 910-916-3317
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOY NICOLE MCNEIL
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Credential | MA, PHD, LPC
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Telephone | 910-916-3317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11268
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License Number State | NC
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