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General NPI Number Information
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NPI Number | 1235097213
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Entity Type | Organization
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Legal Business Name | MINDFUL ASCENT PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 1248 GUNN HALL DR STE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-5757
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Country | US
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Telephone | 757-339-6035
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Fax | 757-689-8715
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Provider Business Mailing Address
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Address Line | 2716 BERNADOTTE ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-6518
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Country | US
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Telephone | 757-232-9842
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Fax | 757-689-8715
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Authorized Official
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Title or Position | OWNER
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Name | MARGRETTA F AUSTIN
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Credential | LCSW DSW
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Telephone | 757-232-9842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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