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General NPI Number Information
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NPI Number | 1497638324
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Entity Type | Organization
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Legal Business Name | PSYCHESSENTIALS INC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1050 TEMPLE AVE # 204
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2981
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Country | US
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Telephone | 540-292-2557
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 TEMPLE AVE # 204
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2981
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Country | US
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Telephone | 540-292-2557
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG SHEALY
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Credential |
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Telephone | 540-292-2557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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