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General NPI Number Information
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NPI Number | 1336677848
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Entity Type | Organization
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Legal Business Name | BY THE WELL COUNSELING, LLC
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Dates
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Enumeration Date | 05/28/2017
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Last Update Date | 05/28/2017
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Provider Practice Location Address
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Address Line | 211 DONELSON PIKE STE 6
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City | NASHVILLE
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State | TN
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Zip | 37214-2914
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Country | US
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Telephone | 615-933-8232
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Fax | 615-205-1178
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Provider Business Mailing Address
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Address Line | 211 DONELSON PIKE STE 6
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City | NASHVILLE
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State | TN
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Zip | 37214-2914
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED COUNSELOR
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Name | CARRIE I SAXTON
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Credential | LPC-MHSP
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Telephone | 615-933-8232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 2534
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License Number State | TN
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