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General NPI Number Information
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NPI Number | 1477086171
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Entity Type | Organization
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Legal Business Name | GRACE COUNSELING, LLC
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 3609 HOFFMEYER ROAD
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City | FLORENCE
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State | SC
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Zip | 29501-7614
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Country | US
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Telephone | 843-407-3979
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Fax | 843-407-3967
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Provider Business Mailing Address
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Address Line | PO BOX 6892
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City | FLORENCE
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State | SC
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Zip | 29502-6892
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Country | US
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Telephone | 843-407-3979
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Fax | 843-407-3967
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Authorized Official
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Title or Position | OWNER, PROFESSIONAL COUNSELOR
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Name | MRS. DEE ANGELIQUE HOEHN
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Credential | M.A., L.P.C.
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Telephone | 843-407-3979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4577
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License Number State | SC
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