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General NPI Number Information
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NPI Number | 1417727868
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Entity Type | Organization
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Legal Business Name | CAYCE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 989 KNOX ABBOTT DR STE 203
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City | CAYCE
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State | SC
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Zip | 29033-3346
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Country | US
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Telephone | 803-447-3199
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Fax | 803-497-3677
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Provider Business Mailing Address
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Address Line | 989 KNOX ABBOTT DR STE 203
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City | CAYCE
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State | SC
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Zip | 29033-3346
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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/COUNSELOR
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Name | PAUL PROCTOR ROGERS
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Credential | LPC
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Telephone | 803-653-3660
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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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