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General NPI Number Information
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NPI Number | 1376432492
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Entity Type | Organization
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Legal Business Name | CARENET INC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 3185 MAPLEWOOD AVE
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3903
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Country | US
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Telephone | 336-716-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KIMEL FOREST DR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-6074
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERT WILLIS
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Credential | LMFT
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Telephone | 336-716-9034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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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Taxonomy #4
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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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