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NPI 1326382557

NPI 1326382557 : LAUREN ELIZABETH DORNELL-NEAL LCMHC, LCAS, DOULA : JACKSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1326382557
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN ELIZABETH DORNELL-NEAL LCMHC, LCAS, DOULA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/10/2012
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    Last Update Date     |    03/24/2025
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Provider Practice Location Address
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    Address Line         |    521 YOPP RD STE 214-308 
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    City                 |    JACKSONVILLE
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    State                |    NC
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    Zip                  |    28540-3595
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    Country              |    US
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    Telephone            |    980-355-2260
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    Fax                  |    833-837-7903
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Provider Business Mailing Address
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    Address Line         |    521 YOPP RD STE 214-308 
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    City                 |    JACKSONVILLE
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    State                |    NC
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    Zip                  |    28540-3595
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    Country              |    US
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    Telephone            |    980-355-2260
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    Fax                  |    833-837-7903
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    LCAS-2834
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    9301
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    License Number State |    NC
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    9301
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    License Number State |    NC
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