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General NPI Number Information
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NPI Number | 1356365852
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Entity Type | Organization
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Legal Business Name | FAMILIES IN NEW DIRECTION, INC.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 808 LOUDOUN AVE STE 1
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3234
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Country | US
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Telephone | 757-393-1292
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Fax | 757-393-1291
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Provider Business Mailing Address
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Address Line | 808 LOUDOUN AVE STE 1
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3234
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Country | US
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Telephone | 757-393-1292
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Fax | 757-393-1291
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ALLON WRIGHT
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Credential | MA, CSAC
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Telephone | 757-393-1292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 62905001
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License Number State | VA
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