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General NPI Number Information
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NPI Number | 1396024451
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Entity Type | Organization
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Legal Business Name | TRUE LIVING COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 1812 BECKETTS RIDGE DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-6661
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Country | US
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Telephone | 336-327-5168
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Fax | 919-640-8683
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Provider Business Mailing Address
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Address Line | 1812 BECKETTS RIDGE DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-6661
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Country | US
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Telephone | 336-327-5168
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Fax | 919-640-8683
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Authorized Official
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Title or Position | LPC/OWNER
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Name | MRS. DONTE R COREY
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Credential | LPC, NCC
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Telephone | 336-327-5168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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