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General NPI Number Information
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NPI Number | 1346035730
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Entity Type | Organization
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Legal Business Name | THISTLE & BLOOM COUNSELING, PLLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 3121 SPRINGBANK LN STE C
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City | CHARLOTTE
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State | NC
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Zip | 28226-3347
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Country | US
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Telephone | 704-665-7177
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 SOMERSBY LN
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City | MATTHEWS
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State | NC
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Zip | 28105-1575
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Country | US
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Telephone | 305-810-9721
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | CHRISTINA BARRETT
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Credential | MSW, LCSW
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Telephone | 305-810-9721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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