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General NPI Number Information
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NPI Number | 1447175005
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Entity Type | Organization
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Legal Business Name | REAL CONNECTIONS COUNSELING AND WELLNESS LLC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 508 BETHEL ST
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City | CLOVER
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State | SC
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Zip | 29710-1154
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Country | US
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Telephone | 803-675-8227
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Fax | 866-884-5371
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Provider Business Mailing Address
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Address Line | 16800 TULLOCH RD
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City | CHARLOTTE
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State | NC
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Zip | 28278-8907
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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 | CHIEF CLINICAL OFFICER
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Name | DR. BETH WILSON
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Credential | PHD, LPCS
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Telephone | 704-516-2394
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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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Taxonomy #2
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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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