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General NPI Number Information
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NPI Number | 1497507586
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Entity Type | Organization
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Legal Business Name | ESSENTIAL CONNECTIONS, LLC
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 1015 W GRAHAM RD
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City | RICHMOND
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State | VA
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Zip | 23220-1515
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Country | US
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Telephone | 804-986-1280
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Fax |
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Provider Business Mailing Address
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Address Line | 18142 VERONICA CT
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City | MOSELEY
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State | VA
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Zip | 23120-1926
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Country | US
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Telephone | 804-986-1280
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | FAYTH HOOD
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Credential | LCSW
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Telephone | 804-986-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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