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General NPI Number Information
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NPI Number | 1275448128
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Entity Type | Organization
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Legal Business Name | LIVE IN THE MOMENT COUNSELING PLLC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 203 BROADVIEW AVE
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City | LEXINGTON
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State | NC
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Zip | 27295-2013
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Country | US
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Telephone | 336-466-4136
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Fax |
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Provider Business Mailing Address
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Address Line | 5030 PETERS CREEK PKWY
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City | WINSTON SALEM
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State | NC
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Zip | 27127-7276
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Country | US
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Telephone | 336-466-4136
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLIVIA RALEA CUNDIFF
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Credential | LCMHCA
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Telephone | 336-466-4136
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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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