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General NPI Number Information
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NPI Number | 1326888660
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Entity Type | Organization
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Legal Business Name | FREE TO BE YOU COUNSELING, LLC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 406 SUMMERS ST
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City | HINTON
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State | WV
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Zip | 25951-2221
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Country | US
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Telephone | 304-712-2588
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Fax |
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Provider Business Mailing Address
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Address Line | 848 E WOODRUMTOWN RD
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City | HINTON
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State | WV
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Zip | 25951-4627
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Country | US
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Telephone | 304-660-7977
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIANNA WILDE
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Credential | MSW, LICSW
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Telephone | 304-660-7977
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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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