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General NPI Number Information
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NPI Number | 1457014110
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Entity Type | Organization
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Legal Business Name | SOS PSYCHIATRY, LLC
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 50 CATOCTIN CIR NE STE 101
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City | LEESBURG
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State | VA
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Zip | 20176-3101
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Country | US
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Telephone | 540-324-3261
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1442
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City | WINCHESTER
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State | VA
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Zip | 22604-7942
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Country | US
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Telephone | 540-324-3261
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JILL KIRSTEN HIGGINS
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Credential | PMHNP
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Telephone | 540-303-2432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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