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General NPI Number Information
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NPI Number | 1346195641
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Entity Type | Organization
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Legal Business Name | YOUR COMMUNITY COUNSELING AND INTEGRATED SUPPORTS
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 521 YOPP RD STE 214-308
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City | JACKSONVILLE
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State | NC
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Zip | 28540-3595
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Country | US
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Telephone | 980-355-2260
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Fax | 833-837-7903
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Provider Business Mailing Address
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Address Line | 521 YOPP RD STE 214-308
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City | JACKSONVILLE
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State | NC
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Zip | 28540-3595
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Country | US
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Telephone | 980-355-2260
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Fax | 833-837-7903
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | LAUREN DORNELL-NEAL
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Credential | LCMHC, LCAS, LCPC,
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Telephone | 980-355-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 374J00000X
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Taxonomy Name | Doula
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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 | 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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