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General NPI Number Information
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NPI Number | 1457868168
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Entity Type | Organization
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Legal Business Name | THERAPYWORKS COUNSELING, PLLC
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 1451 S ELM EUGENE ST UNIT 54
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City | GREENSBORO
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State | NC
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Zip | 27406
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Country | US
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Telephone | 336-202-0846
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Fax | 866-420-9205
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Provider Business Mailing Address
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Address Line | 1451 S ELM EUGENE ST UNIT 54
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City | GREENSBORO
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State | NC
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Zip | 27406-2392
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Country | US
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Telephone | 336-202-0846
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Fax | 866-420-9205
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Authorized Official
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Title or Position | DIRECTOR
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Name | JACK L HILEMAN
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Credential | LMFT
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Telephone | 336-202-0846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 999999
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License Number State | NC
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