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General NPI Number Information
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NPI Number | 1336053727
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Entity Type | Individual
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Provider Name | RHETT OWENSBY MA,LCMHC,LCAS,CCS
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Gender | Male
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 470 LAKE CONCORD DR
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City | CONCORD
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State | NC
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Zip | 28025
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Country | US
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Telephone | 704-601-7653
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Fax |
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Provider Business Mailing Address
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Address Line | 209 LAKE GEORGE DR
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City | SHELBY
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State | NC
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Zip | 28152-6986
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Country | US
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Telephone | 828-289-2071
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-26909
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCMHC-16477
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License Number State | NC
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