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General NPI Number Information
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NPI Number | 1255126165
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Entity Type | Organization
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Legal Business Name | THE HUB WELLNESS CENTER,PLLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 310 W 3RD AVE
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City | GASTONIA
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State | NC
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Zip | 28052-4004
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Country | US
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Telephone | 980-285-4347
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Fax | 704-842-3874
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Provider Business Mailing Address
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Address Line | 1051 OBARR DR
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City | GASTONIA
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State | NC
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Zip | 28054-6455
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Country | US
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Telephone | 980-285-4347
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Fax | 704-842-3874
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Authorized Official
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Title or Position | OWNER
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Name | JERRY GUY
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Credential | LCMHC, LCAS
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Telephone | 980-285-4347
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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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