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General NPI Number Information
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NPI Number | 1235913187
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Entity Type | Organization
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Legal Business Name | BEYOND THE BADGE COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 10825 DORCHESTER RD APT 1074
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City | SUMMERVILLE
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State | SC
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Zip | 29485-6059
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Country | US
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Telephone | 843-259-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 10825 DORCHESTER RD APT 1074
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City | SUMMERVILLE
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State | SC
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Zip | 29485-6059
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | NICOLE PINGEL
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Credential | LMHC, LPC
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Telephone | 843-259-1777
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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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