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General NPI Number Information
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NPI Number | 1417722935
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Entity Type | Organization
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Legal Business Name | STABLE HAVEN COUNSELING PLLC
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 6561 HAZEL HOLLOW RD
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City | DUBLIN
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State | VA
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Zip | 24084-5679
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Country | US
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Telephone | 540-307-0779
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Fax | 518-636-1882
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Provider Business Mailing Address
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Address Line | 6561 HAZEL HOLLOW RD
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City | DUBLIN
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State | VA
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Zip | 24084-5679
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Country | US
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Telephone | 540-307-0779
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Fax | 518-636-1882
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | DR. HEIDE L BURCH
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Credential | PHD
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Telephone | 540-307-0779
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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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