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General NPI Number Information
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NPI Number | 1366831521
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Entity Type | Organization
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Legal Business Name | COMPASSION COUNSELING LLC
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 5923 CHURCH RD
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City | PETERSBURG
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State | VA
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Zip | 23803
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Country | US
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Telephone | 804-721-6750
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Fax |
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Provider Business Mailing Address
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Address Line | 5923 CHURCH RD
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City | PETERSBURG
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State | VA
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Zip | 23803
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Country | US
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Telephone | 804-957-6389
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Fax |
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Authorized Official
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Title or Position | LCSW/CLINICAL DIRECTOR
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Name | MRS. CARLA FELICIA JONES
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Credential | LCSW
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Telephone | 804-721-6750
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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 | 0904003479
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License Number State | VA
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