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General NPI Number Information
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NPI Number | 1548854847
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Entity Type | Organization
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Legal Business Name | WATERSTONE COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 100 SHADOW WOOD PARK
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City | BIRMINGHAM
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State | AL
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Zip | 35244-3441
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Country | US
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Telephone | 205-502-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 453 GREEN GLADE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35244-3223
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Country | US
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Telephone | 205-910-9797
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MRS. HEATHER B PARKER
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Credential | M.ED., LPC, NCC
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Telephone | 205-910-9797
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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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