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General NPI Number Information
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NPI Number | 1326678947
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Entity Type | Organization
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Legal Business Name | SOOTHING MINDS COUNSELING , PLLC
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 351 WAGONER DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4608
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Country | US
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Telephone | 931-539-5097
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Fax |
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Provider Business Mailing Address
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Address Line | 351 WAGONER DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4608
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Country | US
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Telephone | 931-538-5097
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Fax | 910-401-1150
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Authorized Official
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Title or Position | OWNER
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Name | FELICIA TYSON-JOHNSON
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Credential | LCSW
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Telephone | 931-538-5097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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