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General NPI Number Information
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NPI Number | 1356012983
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Entity Type | Organization
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Legal Business Name | MINDZ MATTERS COUNSELING SERVICES INC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 81 CLIFFORD DR
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City | MARTINSBURG
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State | WV
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Zip | 25404-0678
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Country | US
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Telephone | 864-787-4799
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Fax |
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Provider Business Mailing Address
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Address Line | 35 PINE VALLEY RD
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City | PIEDMONT
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State | SC
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Zip | 29673-8118
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Country | US
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Telephone | 864-325-3451
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. FELICIA S STEVENSON
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Credential | LCPC, CAMS-II, CCTP
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Telephone | 864-325-3451
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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