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General NPI Number Information
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NPI Number | 1306651484
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Entity Type | Organization
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Legal Business Name | TKS CONSULTING, LLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 900 COMMONWEALTH PL STE 203
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-4528
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Country | US
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Telephone | 757-679-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 241 PURPLE MARTIN LN
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City | SUFFOLK
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State | VA
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Zip | 23435-3329
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Country | US
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Telephone | 757-404-1900
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | TAQUISA SIMMONS
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Credential | PHD, LCSW
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Telephone | 757-679-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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