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General NPI Number Information
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NPI Number | 1386343101
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Entity Type | Organization
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Legal Business Name | POWERFUL CONVERSATIONS LLC
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 607 CORINNE ST STE C3
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City | HATTIESBURG
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State | MS
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Zip | 39401-3852
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Country | US
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Telephone | 601-336-0805
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Fax |
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Provider Business Mailing Address
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Address Line | 73 ARCHEL ST
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City | PETAL
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State | MS
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Zip | 39465-8837
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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 | OWNER
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Name | CARLA RAWLS
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Credential | LPC
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Telephone | 601-336-0805
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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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