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General NPI Number Information
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NPI Number | 1205317732
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Entity Type | Organization
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Legal Business Name | MINOR INSPIRATIONS LLC
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 4037 E INDEPENDENCE BLVD STE 100
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City | CHARLOTTE
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State | NC
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Zip | 28205-0003
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Country | US
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Telephone | 267-239-6447
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Fax |
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Provider Business Mailing Address
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Address Line | 4037 E INDEPENDENCE BLVD STE 100
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City | CHARLOTTE
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State | NC
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Zip | 28205-0003
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Country | US
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Telephone | 267-239-6447
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Fax |
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Authorized Official
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Title or Position | MARRIAGE & FAMILY THERAPIST
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Name | ALLISHA MARIE MINOR-GAINES
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Credential | LCMFT, LMFT
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Telephone | 267-239-6447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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