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General NPI Number Information
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NPI Number | 1487265120
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Entity Type | Organization
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Legal Business Name | CAROLINA INTEGRATIVE THERAPY PLLC
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Dates
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Enumeration Date | 08/16/2020
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 9541 JULIAN CLARK AVE STE 109E
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3485
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Country | US
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Telephone | 980-226-4165
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Fax |
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Provider Business Mailing Address
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Address Line | 9541 JULIAN CLARK AVE STE 109E
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3485
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Country | US
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Telephone | 980-226-4165
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUSTINA MARIE FLOYD
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Credential | NCC, LCMHCS
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Telephone | 704-206-9810
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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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