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General NPI Number Information
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NPI Number | 1366341067
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Entity Type | Organization
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Legal Business Name | ALONG THE ROAD THERAPY
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 1501 MEDICAL CENTER DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7506
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Country | US
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Telephone | 910-310-8188
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Fax | 380-235-2527
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Provider Business Mailing Address
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Address Line | 1501 MEDICAL CENTER DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7506
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Country | US
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Telephone | 910-319-8188
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Fax | 380-235-2527
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Authorized Official
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Title or Position | OWNER
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Name | MS. REBECCA L WALTER
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Credential | LCMHC
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Telephone | 910-319-8188
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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 |
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License Number State |
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