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General NPI Number Information
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NPI Number | 1194425835
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Entity Type | Organization
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Legal Business Name | CREATIVE NARRATIVE COUNSELING & COACHING, LLC
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 20 CROSSVIEW DR
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-7142
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Country | US
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Telephone | 864-293-8123
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Fax |
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Provider Business Mailing Address
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Address Line | 20 CROSSVIEW DR
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-7142
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Country | US
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Telephone | 864-293-8123
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. SHANTA MILNER
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Credential | LPC, NCC
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Telephone | 864-293-8123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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