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General NPI Number Information
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NPI Number | 1255806972
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Entity Type | Organization
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Legal Business Name | PREVAIL COUNSELING & ASSOCIATES LLC
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Dates
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Enumeration Date | 10/09/2018
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 155 PROSPEROUS PL
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City | LEXINGTON
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State | KY
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Zip | 40509-1862
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Country | US
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Telephone | 859-439-0430
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Fax |
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Provider Business Mailing Address
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Address Line | 366 BOB O LINK DR
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City | LEXINGTON
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State | KY
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Zip | 40503-1104
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Country | US
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Telephone | 270-339-1344
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAIRE DORRIS-LLOYD
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Credential | LPCC
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Telephone | 859-439-0430
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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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