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General NPI Number Information
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NPI Number | 1346904588
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Entity Type | Organization
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Legal Business Name | EMOTIONAL EXPRESSIONS, LLC
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 325 PINEY FOREST DR
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City | DANVILLE
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State | VA
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Zip | 24540
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Country | US
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Telephone | 276-734-3421
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Fax |
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Provider Business Mailing Address
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Address Line | 1361 HILLCREST AVE
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City | MARTINSVILLE
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State | VA
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Zip | 24112-4824
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Country | US
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Telephone | 276-734-3421
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | TINA NICOLE STREER
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Credential | LCSW
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Telephone | 276-734-3421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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