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General NPI Number Information
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NPI Number | 1366396558
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Entity Type | Organization
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Legal Business Name | KEY OF LIFE COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 104 GURKIN LN
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City | PLYMOUTH
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State | NC
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Zip | 27962-1705
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Country | US
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Telephone | 252-325-5691
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Fax |
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Provider Business Mailing Address
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Address Line | 104 GURKIN LN
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City | PLYMOUTH
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State | NC
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Zip | 27962-1705
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Country | US
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Telephone | 252-325-1722
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Fax | 252-325-1722
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Authorized Official
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Title or Position | OWNER
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Name | KNEESHA CHENAY CARMACK
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Credential |
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Telephone | 252-325-5691
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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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