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General NPI Number Information
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NPI Number | 1336685833
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS PSYCHOTHERAPY CONSULTANTS, LLC
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 900 COMMONWEALTH PL SUITE 215
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-4517
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Country | US
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Telephone | 757-749-0151
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Fax | 757-313-6634
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Provider Business Mailing Address
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Address Line | 4461 SANIBEL CIR STE 308
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4695
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Country | US
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Telephone | 757-749-0151
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Fax | 757-313-6634
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Authorized Official
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Title or Position | SOLE OWNER
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Name | MS. PHYLLIS MARIE MCLAURIN
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Credential | LCSW
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Telephone | 757-749-0151
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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 | 0904007833
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License Number State | VA
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