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NPI 1497324867

NPI 1497324867 : STRATEGIC STRENGTH STUDIO, PLLC : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1497324867
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRATEGIC STRENGTH STUDIO, PLLC 
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Dates
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    Enumeration Date     |    06/21/2021
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    Last Update Date     |    06/21/2021
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Provider Practice Location Address
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    Address Line         |    10130 MALLARD CREEK CHURCH RD. SUITE 333
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28262
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    Country              |    US
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    Telephone            |    203-884-3355
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1213 STELLA COURT 
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    City                 |    MONROE
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    State                |    NC
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    Zip                  |    28110
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    Country              |    US
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    Telephone            |    704-219-1180
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST/FOUNDER
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    Name                 |    MS. TEIA  COLEMAN 
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    Credential           |    MS, LCMHC
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    Telephone            |    203-884-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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