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General NPI Number Information
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NPI Number | 1457853152
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Entity Type | Organization
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Legal Business Name | PERSONAL SOLUTIONS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 2817 N PARHAM RD STE 211
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City | HENRICO
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State | VA
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Zip | 23294-4411
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Country | US
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Telephone | 804-658-5930
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Fax | 804-658-5404
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Provider Business Mailing Address
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Address Line | 2817 N PARHAM RD STE 211
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City | HENRICO
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State | VA
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Zip | 23294-4411
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Country | US
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Telephone | 804-658-5930
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Fax | 804-658-5404
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | LAUREL BORREL
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Credential |
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Telephone | 804-304-6869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2574-03-001
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License Number State | VA
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