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General NPI Number Information
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NPI Number | 1417763277
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Entity Type | Organization
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Legal Business Name | BEACONS OF HOPE COUNSELING AND WELLNESS LLC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 902 17TH ST
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City | RADFORD
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State | VA
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Zip | 24141-3312
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Country | US
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Telephone | 540-750-5261
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Fax |
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Provider Business Mailing Address
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Address Line | 902 17TH ST
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City | RADFORD
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State | VA
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Zip | 24141-3312
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Country | US
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Telephone | 540-750-5261
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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 | MAURA LESKO
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Credential | LPC
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Telephone | 540-750-5261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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