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General NPI Number Information
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NPI Number | 1326891771
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Entity Type | Organization
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Legal Business Name | JOURNEY COUNSELING AND WELLNESS,
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 4000 LEGATO RD SUITE #1100
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City | FAIRFAX
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State | VA
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Zip | 22033
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Country | US
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Telephone | 571-417-7706
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 LEGATO RD STE 1100
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City | FAIRFAX
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State | VA
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Zip | 22033-2893
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Country | US
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Telephone | 571-417-7706
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Fax |
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Authorized Official
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Title or Position | OWNER/DRIRECTIOR
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Name | DR. SADE SMITH REID
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Credential | PHD, LPC, NCC, BCTMC
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Telephone | 571-417-7706
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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