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General NPI Number Information
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NPI Number | 1407665904
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Entity Type | Organization
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Legal Business Name | ENLIGHTENED AND EMPOWERED COUNSELING, LLC
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 326 ELDERWOOD CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4355
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Country | US
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Telephone | 757-559-1854
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Fax |
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Provider Business Mailing Address
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Address Line | 3419 VIRGINIA BEACH BLVD # 5261
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4419
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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, CEO
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Name | ALISHA BOWMAN
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Credential | MSW, LCSW
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Telephone | 757-559-1854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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