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General NPI Number Information
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NPI Number | 1285321497
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Entity Type | Organization
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Legal Business Name | NLSAW COUNSELING
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 638 INDEPENDENCE PKWY STE 270
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City | CHESAPEAKE
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State | VA
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Zip | 23320-5216
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Country | US
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Telephone | 757-453-4485
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Fax | 757-463-0573
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Provider Business Mailing Address
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Address Line | 1801 SUNSPRITE LOOP
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City | CHESAPEAKE
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State | VA
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Zip | 23323-5513
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Country | US
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Telephone | 757-453-4485
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Fax | 757-463-0573
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Authorized Official
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Title or Position | LPC CLINICIAN
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Name | TAKIYA TAYLOR
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Credential | LPC, LSATP
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Telephone | 757-453-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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 #3
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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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