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General NPI Number Information
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NPI Number | 1508378951
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Entity Type | Organization
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Legal Business Name | ARISE COUNSELING AND CONSULTING CENTER
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 6055 ST PETERS CHURCH RD
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City | CONOVER
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State | NC
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Zip | 28613-8752
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 6055 ST PETERS CHURCH RD
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City | CONOVER
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State | NC
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Zip | 28613-8752
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Country | US
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Telephone | 571-330-2829
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ANTHONY T HINES SR.
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Credential | LPCA
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Telephone | 571-330-2829
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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 | 13289
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License Number State | NC
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