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General NPI Number Information
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NPI Number | 1477482388
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Entity Type | Organization
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Legal Business Name | KALEBS GRACE COUNSELING LLC
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 1011 BAY ST STE 2B
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City | BEAUFORT
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State | SC
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Zip | 29902-5569
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Country | US
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Telephone | 843-473-7764
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Fax |
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Provider Business Mailing Address
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Address Line | 100 STUART TOWNE LN APT 14B
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City | PORT ROYAL
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State | SC
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Zip | 29935-1727
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Country | US
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Telephone | 843-422-3750
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZARISA WATKINS
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Credential | MA, LPC, NCC
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Telephone | 843-422-3750
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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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