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General NPI Number Information
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NPI Number | 1295277986
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Entity Type | Organization
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Legal Business Name | POSITIVE SOLUTIONS COUNSELING SERVICES
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 08/30/2017
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Provider Practice Location Address
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Address Line | 181 E EVANS ST SUITE 300
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City | FLORENCE
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State | SC
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Zip | 29506-2511
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Country | US
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Telephone | 843-676-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 181 E EVANS ST SUITE 300
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City | FLORENCE
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State | SC
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Zip | 29506-2511
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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 | LICENSE PROFESSIONAL COUNSELOR
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Name | DELORIS ANN MCKNIGHT
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Credential | ED. D
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Telephone | 843-676-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6614
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License Number State | SC
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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 | 2185
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License Number State | SC
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