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General NPI Number Information
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NPI Number | 1336291046
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Entity Type | Individual
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Provider Name | MELINDA ANNE ENSLEY LPC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 7301 FOREST AVE STE 200
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City | RICHMOND
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State | VA
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Zip | 23226-3792
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Country | US
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Telephone | 804-570-7941
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Fax | 804-447-8204
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Provider Business Mailing Address
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Address Line | 7301 FOREST AVE STE 200
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City | RICHMOND
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State | VA
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Zip | 23226-3792
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Country | US
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Telephone | 804-570-7941
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Fax | 804-447-8204
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701012313
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License Number State | VA
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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 | 2452
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 271319
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 292
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License Number State | LA
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