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General NPI Number Information
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NPI Number | 1376405381
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Entity Type | Organization
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Legal Business Name | INNER LIGHT MEDITATION AND COUNSELING CENTER PLLC
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Dates
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Enumeration Date | 11/27/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 415 N EDGEWORTH ST STE 101
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City | GREENSBORO
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State | NC
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Zip | 27401-2183
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Country | US
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Telephone | 336-543-6624
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Fax | 336-856-1704
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Provider Business Mailing Address
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Address Line | 7 BROOKGLEN CT
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City | GREENSBORO
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State | NC
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Zip | 27410-2758
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Country | US
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Telephone | 336-543-6624
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Fax | 336-856-1704
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | ROSSANA L MAGALHAESE
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Credential | MS, EDS
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Telephone | 336-543-6624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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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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