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General NPI Number Information
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NPI Number | 1356678130
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Entity Type | Individual
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Provider Name | KELLY ANN PHELPS LCMHCS
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Gender | Female
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 110 N CORCORAN ST
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City | DURHAM
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State | NC
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Zip | 27701-5015
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | 1650 LOWER STECOAH RD
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City | ROBBINSVILLE
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State | NC
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Zip | 28771-9209
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Country | US
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Telephone | 828-545-3945
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Fax | 833-419-0181
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | S7586
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License Number State | NC
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