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General NPI Number Information
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NPI Number | 1487292082
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Entity Type | Organization
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Legal Business Name | CAST COUNSELING, LLC
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 2137 HOFFMEYER RD STE E
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City | FLORENCE
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State | SC
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Zip | 29501-4088
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Country | US
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Telephone | 843-306-2275
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Fax | 843-627-2440
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Provider Business Mailing Address
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Address Line | PO BOX 3614
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City | FLORENCE
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State | SC
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Zip | 29502-3614
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Country | US
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Telephone | 843-306-2275
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Fax | 843-627-2440
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Authorized Official
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Title or Position | CLINICIAN
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Name | MRS. ANITA B MCDANIEL
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Credential | LPC
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Telephone | 864-323-5318
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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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