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General NPI Number Information
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NPI Number | 1255251013
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Entity Type | Individual
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Provider Name | AVERY BLAKE DAY M.ED, ED.S., LPC
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 930 S PINE ST STE A
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City | SPARTANBURG
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State | SC
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Zip | 29302-3311
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Country | US
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Telephone | 864-515-6440
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Fax |
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Provider Business Mailing Address
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Address Line | 730 DAVIS COOK DR APT G03
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City | WELLFORD
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State | SC
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Zip | 29385-8312
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Country | US
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Telephone | 813-777-9911
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12506
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License Number State | SC
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