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General NPI Number Information
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NPI Number | 1346974383
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Entity Type | Organization
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Legal Business Name | HIGH HOPES MENTAL WELLNESS ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 989 KNOX ABBOTT DR STE 112
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City | CAYCE
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State | SC
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Zip | 29033-3346
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Country | US
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Telephone | 803-828-0775
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Fax | 803-756-2550
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Provider Business Mailing Address
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Address Line | 3970 CAESARS RD
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City | WEST COLUMBIA
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State | SC
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Zip | 29170-1312
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Country | US
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Telephone | 803-530-3564
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Fax |
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | MR. JAMES STEWART COURTNEY
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Credential | LPC
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Telephone | 803-530-3564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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