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General NPI Number Information
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NPI Number | 1437936101
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Entity Type | Organization
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Legal Business Name | TRUE MENTAL WELLNESS COUNSELING & CONSULTING
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 104 WAXHAW PROFESSIONAL PARK DR STE D
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City | WAXHAW
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State | NC
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Zip | 28173-5020
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Country | US
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Telephone | 980-315-5834
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Fax |
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Provider Business Mailing Address
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Address Line | 4251 S RHETT AVE UNIT 5207
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-6911
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Country | US
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Telephone | 803-804-5199
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MALISSA TRUESDALE-CRAWFORD
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Credential | LPC
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Telephone | 803-804-5199
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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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