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General NPI Number Information
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NPI Number | 1255807392
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Entity Type | Organization
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Legal Business Name | HIGHER LIFE PATHWAYS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 1800 DIAGONAL RD STE 600
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2840
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Country | US
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Telephone | 703-647-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 3938 VERMONT AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22304-6325
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Country | US
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Telephone | 516-286-1024
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. DINELLY HOLDER
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Credential | LPC, LMHC, NCC
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Telephone | 516-286-1024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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