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General NPI Number Information
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NPI Number | 1528532975
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Entity Type | Organization
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Legal Business Name | BEST LIFE COUNSELING, PLLC
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 14636 REESE BLVD W STE 3
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7946
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Country | US
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Telephone | 704-912-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 12107 MONTEITH GROVE DR
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-4257
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Country | US
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Telephone | 917-583-5508
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | SHELLY LUTTMAN PHELPS
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Credential | LCSW
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Telephone | 917-583-5508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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