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General NPI Number Information
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NPI Number | 1215311550
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Entity Type | Organization
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Legal Business Name | INTEGRITY COUNSELING & WELLNESS, LLC
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 810 DUTCH SQUARE BLVD STE 205
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City | COLUMBIA
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State | SC
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Zip | 29210-7318
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Country | US
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Telephone | 803-250-6456
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Fax | 803-250-2523
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Provider Business Mailing Address
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Address Line | 810 DUTCH SQUARE BLVD STE 205
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City | COLUMBIA
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State | SC
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Zip | 29210-7318
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Country | US
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Telephone | 803-250-6456
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Fax | 803-250-2523
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Authorized Official
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Title or Position | OWNER
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Name | MR. TAURUS D SANDERS
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Credential | MA, LPC, CACI
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Telephone | 803-250-6456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1512089
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6144
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License Number State | SC
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