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General NPI Number Information
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NPI Number | 1457573867
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Entity Type | Organization
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Legal Business Name | JOY IN THE MOURNING LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2211 LAKE MURRAY BLVD
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City | COLUMBIA
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State | SC
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Zip | 29212-0951
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Country | US
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Telephone | 803-407-3185
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Fax | 803-407-3581
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Provider Business Mailing Address
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Address Line | 117 COLLINS DR
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City | COLUMBIA
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State | SC
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Zip | 29212-8316
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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 | PRESIDENT
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Name | LINDA SWAIN GILL
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Credential | LPC
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Telephone | 803-407-3185
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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 | 4713
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License Number State | SC
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