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General NPI Number Information
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NPI Number | 1215548870
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Entity Type | Organization
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Legal Business Name | HAVEN CHRISTIAN COUNSELING LLC
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Dates
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Enumeration Date | 08/16/2020
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 3421 HAWTHORNE AVE
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City | RICHMOND
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State | VA
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Zip | 23222-1821
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Country | US
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Telephone | 804-277-9122
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Fax |
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Provider Business Mailing Address
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Address Line | 3035 MONTROSE AVE
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City | RICHMOND
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State | VA
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Zip | 23222-2509
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Country | US
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Telephone | 804-304-0572
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL CAPEL
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Credential | LPC
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Telephone | 804-304-0572
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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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