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General NPI Number Information
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NPI Number | 1376904466
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Entity Type | Organization
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Legal Business Name | HOLLYI HALL COUNSELING LLC.
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 110 MANLY ST
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City | GREENVILLE
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State | SC
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Zip | 29601-3025
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Country | US
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Telephone | 864-298-8026
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Fax | 864-298-8032
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Provider Business Mailing Address
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Address Line | 110 MANLY ST
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City | GREENVILLE
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State | SC
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Zip | 29601-3025
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Country | US
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Telephone | 864-298-8026
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Fax | 864-298-8032
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MS. HOLLYI SUSANNE HALL
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Credential | EDS. LMFT-I
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Telephone | 864-298-8026
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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 | 5673
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License Number State | SC
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