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General NPI Number Information
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NPI Number | 1306632427
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Entity Type | Organization
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Legal Business Name | LIFESPRING COUNSELING
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 3 BOARS HEAD LN STE A-2
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4610
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Country | US
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Telephone | 804-460-9052
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 EDMOND DR
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City | CROZET
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State | VA
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Zip | 22932-2884
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Country | US
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Telephone | 601-454-9672
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA MONOHAN
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Credential | LPC
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Telephone | 601-454-9672
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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 |
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License Number State |
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