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General NPI Number Information
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NPI Number | 1396101200
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Entity Type | Organization
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Legal Business Name | XOLANI CENTERS, PLLC
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 7200 FALLS OF NEUSE RD SUITE 300
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City | RALEIGH
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State | NC
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Zip | 27615-5384
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Country | US
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Telephone | 919-210-7390
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 FALLS OF NEUSE RD STE 300
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City | RALEIGH
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State | NC
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Zip | 27615-5384
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Country | US
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Telephone | 919-210-7390
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OUTPATIENT OPERATIONS
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Name | AUTUMN KAYLEN MIZE
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Credential |
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Telephone | 984-200-2780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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