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General NPI Number Information
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NPI Number | 1528832599
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Entity Type | Organization
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Legal Business Name | HOLISTIC WELLCARE COUNSELING LLC
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 55 NEW ST
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City | EPHRATA
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State | PA
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Zip | 17522-2826
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Country | US
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Telephone | 610-781-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 216 W WYOMISSING BLVD
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City | READING
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State | PA
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Zip | 19609-1905
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Country | US
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Telephone | 610-781-1926
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | BRIAN KEITH RICHARDSON
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Credential | LPC
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Telephone | 610-781-1926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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