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General NPI Number Information
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NPI Number | 1487260394
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Entity Type | Organization
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Legal Business Name | HOPE HARBOR AND WELLNESS LLC
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 3590 TOWNE POINT RD UNIT 6734
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City | PORTSMOUTH
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State | VA
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Zip | 23703-1328
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Country | US
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Telephone | 757-654-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 3590 TOWNE POINT RD UNIT 6734
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City | PORTSMOUTH
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State | VA
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Zip | 23703-1328
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. DENISHA HOSEY
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Credential | LPC
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Telephone | 804-873-0818
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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 |
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License Number State |
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