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General NPI Number Information
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NPI Number | 1316730104
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Entity Type | Organization
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Legal Business Name | CARREFOUR COUNSELING & PLAY THERAPY LLC
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 348 W ELK AVE
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City | ELIZABETHTON
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State | TN
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Zip | 37643-2614
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Country | US
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Telephone | 423-922-7258
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Fax | 855-877-4676
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Provider Business Mailing Address
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Address Line | 4095 HIGHWAY 321
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City | BUTLER
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State | TN
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Zip | 37640-5408
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Country | US
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Telephone | 276-266-7513
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER LEE BELCHER
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Credential | LPC
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Telephone | 276-266-7513
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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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