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General NPI Number Information
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NPI Number | 1386883304
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Entity Type | Organization
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Legal Business Name | FAMILY THERAPY ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/14/2009
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Last Update Date | 02/14/2009
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Provider Practice Location Address
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Address Line | 1612 ASHEVILLE HWY SUITE 3
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3473
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Country | US
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Telephone | 828-693-6784
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Fax | 828-693-6785
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Provider Business Mailing Address
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Address Line | 1612 ASHEVILLE HWY SUITE 3
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3473
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Country | US
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Telephone | 828-693-6784
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Fax | 828-693-6785
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LISA H. MCKEAN
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Credential | MSW, LCSW, LCAS, CCS
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Telephone | 828-693-6784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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