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General NPI Number Information
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NPI Number | 1497257026
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Entity Type | Organization
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Legal Business Name | LIFEWORKS COUNSELING CENTER LLC
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 4 WINDERMERE BLVD
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City | CHARLESTON
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State | SC
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Zip | 29407-7412
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Country | US
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Telephone | 843-901-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 45 SYCAMORE AVE APT 321
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City | CHARLESTON
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State | SC
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Zip | 29407-6717
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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 | OWNER
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Name | PATTI FISHER
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Credential |
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Telephone | 610-223-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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