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General NPI Number Information
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NPI Number | 1316763790
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Entity Type | Organization
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Legal Business Name | ROYAL CARE COUNSELING GROUP SERVICES LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 10560 MAIN ST STE 416
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City | FAIRFAX
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State | VA
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Zip | 22030-7174
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Country | US
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Telephone | 571-343-8839
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Fax | 571-343-8839
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Provider Business Mailing Address
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Address Line | 11806 GOLDEN EAGLE CT # A
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City | WOODBRIDGE
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State | VA
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Zip | 22192-1056
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Country | US
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Telephone | 571-343-8839
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL LOVETT
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Credential | LPC
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Telephone | 571-343-8839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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