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General NPI Number Information
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NPI Number | 1346876661
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Entity Type | Organization
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Legal Business Name | FIND YOUR BALANCE PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 03/18/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 7410 HULL STREET RD STE 102
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5834
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Country | US
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Telephone | 804-835-5853
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Fax | 804-251-1342
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Provider Business Mailing Address
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Address Line | 1920 MATOAX AVE
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City | PETERSBURG
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State | VA
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Zip | 23805-2843
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Country | US
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Telephone | 804-835-5853
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Fax | 804-251-1342
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. MELISSA OLIVIA MOTLEY MOORE
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Credential | LPC
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Telephone | 804-835-5853
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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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