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General NPI Number Information
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NPI Number | 1437947249
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Entity Type | Organization
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Legal Business Name | REVELATION COUNSELING, LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 7000 PROVIDENCE RD
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City | CHARLOTTE
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State | NC
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Zip | 28226
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Country | US
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Telephone | 803-859-4496
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Fax | 803-266-6912
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Provider Business Mailing Address
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Address Line | 1750 W HWY 160 STE. 101 PMB 251
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City | FORT MILL
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State | SC
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Zip | 29708-8009
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Country | US
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Telephone | 803-859-4496
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | AMANDA CADWELL
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Credential | LPC/S
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Telephone | 803-859-4496
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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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