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General NPI Number Information
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NPI Number | 1366232639
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Entity Type | Organization
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Legal Business Name | YOUR WAY THERAPY
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 903 BELLS CREEK CT
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7426
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Country | US
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Telephone | 850-543-9084
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Fax |
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Provider Business Mailing Address
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Address Line | 903 BELLS CREEK CT
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7426
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Country | US
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Telephone | 850-543-9084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON KELLEY
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Credential | LCSW
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Telephone | 757-713-9883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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