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General NPI Number Information
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NPI Number | 1528237369
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Entity Type | Individual
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Provider Name | SIMONE STEPHENS REEVES MA,LPC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 12/12/2020
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Provider Practice Location Address
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Address Line | 11709 FRUEHAUF DR STE 225
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City | CHARLOTTE
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State | NC
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Zip | 28273-0043
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Country | US
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Telephone | 704-840-2848
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Fax |
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Provider Business Mailing Address
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Address Line | 1659 SANDPIPER DR
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City | ROCK HILL
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State | SC
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Zip | 29732-3088
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Country | US
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Telephone | 704-840-2848
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7160
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License Number State | NC
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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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