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General NPI Number Information
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NPI Number | 1215399795
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Entity Type | Organization
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Legal Business Name | WELLNESS COUNSELING CENTER PC
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 7810 BALLANTYNE COMMONS PKWY SUITE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277-3415
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Country | US
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Telephone | 704-319-5593
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Fax |
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Provider Business Mailing Address
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Address Line | 7810 BALLANTYNE COMMONS PKWY SUITE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277-3415
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Country | US
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Telephone | 704-319-5593
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARBARA ANNE HANCOCK
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Credential | LMFT
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Telephone | 704-319-5593
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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 | LMFT 919
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License Number State | NC
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