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General NPI Number Information
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NPI Number | 1265989479
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Entity Type | Organization
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Legal Business Name | FREEDOM COUNSELING
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 5101 CLEVELAND ST STE 307
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6561
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Country | US
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Telephone | 757-373-2221
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Fax | 757-321-0534
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Provider Business Mailing Address
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Address Line | 5101 CLEVELAND ST STE 307
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6561
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Country | US
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Telephone | 757-373-2221
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Fax | 757-321-0534
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Authorized Official
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Title or Position | FOUNDER, CEO
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Name | DR. KIMBERLY A BYERLY
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Credential | PH.D., LPC, LSATP
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Telephone | 757-373-2221
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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 |
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License Number State |
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