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General NPI Number Information
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NPI Number | 1528768710
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Entity Type | Organization
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Legal Business Name | FREEDOM FOCUS AND WELLNESS COUNSELING AND CONSULTATION PLLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 150 E FIRE TOWER RD STE C
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City | WINTERVILLE
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State | NC
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Zip | 28590-8330
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Country | US
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Telephone | 252-916-8268
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Fax |
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Provider Business Mailing Address
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Address Line | 4263 DUDLEYS GRANT DR APT C
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City | WINTERVILLE
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State | NC
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Zip | 28590-7967
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Country | US
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Telephone | 252-916-8268
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAYNA LORRAINE FARRINGTON
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Credential | MSW, LCSW, LCAS
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Telephone | 252-916-8268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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