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General NPI Number Information
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NPI Number | 1336409655
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Entity Type | Organization
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Legal Business Name | ALL SEASONS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 107A ROBERTA DR
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5328
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Country | US
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Telephone | 843-259-9558
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1121
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City | SUMMERVILLE
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State | SC
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Zip | 29484-1121
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Country | US
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Telephone | 843-259-9558
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FELICIA NICOLE REID
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Credential | MA, LPC
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Telephone | 843-259-9558
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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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