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General NPI Number Information
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NPI Number | 1275423170
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Entity Type | Organization
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Legal Business Name | ZOE MENTAL WHOLENESS CLINIC PLLC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 2404 CHARLES BLVD STE H
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City | GREENVILLE
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State | NC
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Zip | 27858-5901
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Country | US
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Telephone | 252-713-5084
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Fax | 252-618-3556
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Provider Business Mailing Address
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Address Line | 2121 JENNIFER PL
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City | GREENVILLE
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State | NC
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Zip | 27858-9436
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Country | US
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Telephone | 252-350-3571
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHYLA CABELL
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Credential | MSW, LCSW
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Telephone | 252-350-3571
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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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