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General NPI Number Information
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NPI Number | 1427922822
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Entity Type | Organization
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Legal Business Name | ECUSTA COUNSELING PLLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 766 N MAIN ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-5078
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Country | US
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Telephone | 828-656-3770
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Fax | 828-692-7710
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Provider Business Mailing Address
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Address Line | PO BOX 2272
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City | HENDERSONVILLE
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State | NC
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Zip | 28793-2272
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Country | US
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Telephone | 828-656-3770
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Fax | 828-692-7710
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JENA GRACE DAVIS
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Credential | LCMHC
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Telephone | 828-656-3770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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