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General NPI Number Information
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NPI Number | 1477273639
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Entity Type | Organization
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Legal Business Name | CARE2LOVEINACTION
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1382 DOWDEN ST
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City | KERNERSVILLE
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State | NC
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Zip | 27284-0107
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Country | US
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Telephone | 336-602-5519
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Fax |
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Provider Business Mailing Address
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Address Line | 1382 DOWDEN ST
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City | KERNERSVILLE
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State | NC
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Zip | 27284-0107
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Country | US
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Telephone | 336-602-5519
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JAMERA D MCQUEEN
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Credential | MS
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Telephone | 336-602-5519
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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