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General NPI Number Information
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NPI Number | 1497433999
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Entity Type | Organization
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Legal Business Name | BUTTERFLY EFFECT COUNSELING LLC
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 201 SIGMA DR STE 300
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7722
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Country | US
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Telephone | 843-220-9672
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SIGMA DR STE 300
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7722
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Country | US
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Telephone | 843-220-9672
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MANOLA THOMPSON
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Credential |
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Telephone | 843-220-9672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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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