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NPI 1457047235

NPI 1457047235 : THE TRAUMA INFORMED-CARE CENTER : FREDERICKSBRG, VA

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General NPI Number Information
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    NPI Number           |    1457047235
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE TRAUMA INFORMED-CARE CENTER 
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Dates
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    Enumeration Date     |    04/13/2023
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    501 WESTWOOD OFFICE PARK 
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    City                 |    FREDERICKSBRG
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    State                |    VA
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    Zip                  |    22401-5111
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    Country              |    US
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    Telephone            |    540-870-6302
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    Fax                  |    540-300-7888
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Provider Business Mailing Address
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    Address Line         |    501 WESTWOOD OFFICE PARK 
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    City                 |    FREDERICKSBRG
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    State                |    VA
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    Zip                  |    22401-5111
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    Country              |    US
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    Telephone            |    540-870-6302
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    Fax                  |    540-300-7888
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MS. VERONICA YVONNE GRIFFIN 
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    Credential           |    LMSW
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    Telephone            |    540-870-6302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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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        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251X00000X
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    Taxonomy Name        |    Supports Brokerage Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    251V00000X
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    Taxonomy Name        |    Voluntary or Charitable Agency
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    License Number       |    
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    License Number State |    
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