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General NPI Number Information
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NPI Number | 1336942879
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Entity Type | Organization
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Legal Business Name | BALANCING YOUR PATH COACHING LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 140 W WASHINGTON ST STE 101
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City | SUFFOLK
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State | VA
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Zip | 23434-5254
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Country | US
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Telephone | 757-239-8219
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Fax |
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Provider Business Mailing Address
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Address Line | 4348 DUFFY DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-7951
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Country | US
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Telephone | 757-239-8219
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LILKIESHA HARGROVE
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Credential |
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Telephone | 757-239-8219
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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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