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General NPI Number Information
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NPI Number | 1295194991
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Entity Type | Organization
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Legal Business Name | INTEGRITY COUNSELING CENTER, LLC.
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 1518 WILLOW LAWN DR SUITE 210
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City | RICHMOND
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State | VA
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Zip | 23230-3419
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Country | US
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Telephone | 804-833-3323
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Fax | 804-482-2848
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Provider Business Mailing Address
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Address Line | 12220 CHATTANOOGA PLZ SUITE 112
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4865
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Country | US
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Telephone | 804-833-3323
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Fax | 804-482-2848
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RAQUEL ARIANNA MAYE
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Credential |
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Telephone | 804-833-3323
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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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