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General NPI Number Information
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NPI Number | 1285538330
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Entity Type | Organization
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Legal Business Name | GARD THERAPEUTIC SERVICES PLLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 218 W BROAD ST STE 20
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City | STATESVILLE
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State | NC
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Zip | 28677-5258
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Country | US
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Telephone | 980-453-0090
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Fax | 704-272-3056
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Provider Business Mailing Address
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Address Line | 497 CRAWFORD RD
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City | STATESVILLE
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State | NC
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Zip | 28625-8545
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Country | US
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Telephone | 980-453-0090
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Fax | 704-272-3056
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DANIEL COOKE
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Credential | LCMHC-A, LCAS-A
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Telephone | 704-380-3419
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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 | NULL
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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 | NULL
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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 | NULL
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