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General NPI Number Information
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NPI Number | 1316285414
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Entity Type | Organization
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Legal Business Name | SOLAS COUNSELING
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 1717 CLEVELAND AVE
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City | CHARLOTTE
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State | NC
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Zip | 28203-4735
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Country | US
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Telephone | 704-918-8358
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Fax |
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Provider Business Mailing Address
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Address Line | 4935 BANFSHIRE RD
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City | CHARLOTTE
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State | NC
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Zip | 28215-2009
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Country | US
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Telephone | 704-918-8358
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELIZABETH KERR
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Credential | LPCA
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Telephone | 704-918-8358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A8915
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License Number State | NC
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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 | A8915
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License Number State | NC
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