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General NPI Number Information
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NPI Number | 1265052138
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Entity Type | Individual
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Provider Name | STEPHANIE BRASHEAR M.A., LPCC-S, LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 325 ANGELL ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-3245
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Country | US
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Telephone | 803-367-2512
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Fax |
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Provider Business Mailing Address
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Address Line | 325 ANGELL ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-3245
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Country | US
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Telephone | 803-367-2512
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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 | 7427
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License Number State | SC
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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 | E.2001925
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License Number State | OH
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