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General NPI Number Information
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NPI Number | 1275487159
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Entity Type | Organization
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Legal Business Name | PURPOSE IN PLAY COUNSELING SERVICES
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 365 W REED RD STE A2-2
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City | GREENVILLE
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State | MS
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Zip | 38701-6967
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Country | US
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Telephone | 662-394-8992
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Fax |
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Provider Business Mailing Address
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Address Line | 1228 E WANDA DR
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City | GREENVILLE
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State | MS
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Zip | 38703-6553
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Country | US
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Telephone | 662-931-6755
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | ASHLEY NICOLE DAVENPORT
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Credential | LPC, RPT, NCC
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Telephone | 662-931-6755
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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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Taxonomy #2
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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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