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General NPI Number Information
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NPI Number | 1528729365
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Entity Type | Organization
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Legal Business Name | L.E.S.H., LLC
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 4509 WHITECHAPEL DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6447
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Country | US
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Telephone | 757-460-4655
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 BASSWOOD CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-5927
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | SHERYL L LOSICK-SMITH
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Credential | LPC
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Telephone | 757-334-9354
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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 |
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License Number State |
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