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General NPI Number Information
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NPI Number | 1265220412
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Entity Type | Organization
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Legal Business Name | CENTERED SELF CARE
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 6650 RIVERS AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 843-410-9809
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Fax | 843-380-2246
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Provider Business Mailing Address
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Address Line | 6650 RIVERS AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 843-410-9809
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Fax | 843-380-2246
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Authorized Official
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Title or Position | OWNER & PRACTITIONER
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Name | KIMBERLY DAVIS
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Credential |
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Telephone | 843-410-9809
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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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