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General NPI Number Information
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NPI Number | 1356927081
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Entity Type | Organization
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Legal Business Name | EXODUS COUNSELING SERVICES, INC
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 7879 WINDING ASH TER
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City | CHESTERFIELD
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State | VA
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Zip | 23832-2607
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Country | US
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Telephone | 434-288-0534
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Fax |
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Provider Business Mailing Address
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Address Line | 7879 WINDING ASH TER
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City | CHESTERFIELD
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State | VA
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Zip | 23832-2607
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Country | US
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Telephone | 434-288-0534
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Fax |
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Authorized Official
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Title or Position | CEO/PROVIDER
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Name | DR. ANGELA G P ROBERTS
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Credential | EDD, LPC
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Telephone | 434-288-0534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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