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General NPI Number Information
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NPI Number | 1215810320
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Entity Type | Organization
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Legal Business Name | NEW DIMENSIONS COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 2002 BREMO RD STE 202A
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City | RICHMOND
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State | VA
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Zip | 23226-2441
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Country | US
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Telephone | 804-391-4065
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Fax |
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Provider Business Mailing Address
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Address Line | 6401 WILLOW LANDING WAY
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City | CHESTER
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State | VA
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Zip | 23831-7805
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Country | US
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Telephone | 804-873-1686
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CASSANDRA GOODWYN
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Credential | LPC
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Telephone | 804-873-1686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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