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General NPI Number Information
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NPI Number | 1275465270
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Entity Type | Organization
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Legal Business Name | PROSPERROSE COUNSELING & CONSULTING PLLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 7810 PINEVILLE MATTHEWS RD STE 7
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City | CHARLOTTE
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State | NC
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Zip | 28226-5315
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Country | US
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Telephone | 704-247-7172
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Fax |
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Provider Business Mailing Address
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Address Line | 13000 S TRYON ST STE F129
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City | CHARLOTTE
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State | NC
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Zip | 28278-7652
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/CLINICIAN
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Name | TELEDA REED
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Credential | LCMHCA
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Telephone | 704-247-7172
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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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