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General NPI Number Information
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NPI Number | 1336955772
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Entity Type | Organization
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Legal Business Name | VIVA YOU COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 7600 N 15TH ST STE 150
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City | PHOENIX
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State | AZ
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Zip | 85020-4305
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Country | US
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Telephone | 480-256-8240
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Fax | 480-428-8817
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Provider Business Mailing Address
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Address Line | 7600 N 15TH ST STE 150
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City | PHOENIX
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State | AZ
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Zip | 85020-4305
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Country | US
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Telephone | 480-447-0581
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Fax | 480-428-8817
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | CAMILLE MERCEDES MCCORMICK
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Credential | LPC
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Telephone | 480-256-8240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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