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General NPI Number Information
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NPI Number | 1487975074
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Entity Type | Organization
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Legal Business Name | COTTAGE HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 3826 BLAND RD STE 200
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City | RALEIGH
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State | NC
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Zip | 27609-6239
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Country | US
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Telephone | 919-872-1441
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Fax | 919-872-1455
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Provider Business Mailing Address
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Address Line | 3826 BLAND RD
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City | RALEIGH
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State | NC
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Zip | 27609-6239
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Country | US
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Telephone | 919-872-1441
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Fax | 919-872-1455
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Authorized Official
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Title or Position | CEO
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Name | MR. OBIORAH ANACHUNA
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Credential |
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Telephone | 919-872-1441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MHI-092-777
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License Number State | NC
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Taxonomy #2
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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 #3
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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 #4
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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 #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | MHI-092-777
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | MHI-092-777
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | MHI-092-777
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | MHI-092-777
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License Number State | NC
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