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General NPI Number Information
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NPI Number | 1457664526
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Entity Type | Organization
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Legal Business Name | ASIS COUNSELING, PLLC
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 1415 COLLEGE ST
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City | OXFORD
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State | NC
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Zip | 27565-2578
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Country | US
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Telephone | 919-368-8016
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Fax | 800-310-2688
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Provider Business Mailing Address
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Address Line | 1415 COLLEGE ST
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City | OXFORD
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State | NC
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Zip | 27565-2578
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Country | US
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Telephone | 919-368-8016
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Fax | 800-310-2688
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | SHAKOYA HICKS
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Credential | LPC
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Telephone | 919-368-8016
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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 | 7471
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License Number State | NC
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