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General NPI Number Information
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NPI Number | 1548869530
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Entity Type | Organization
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Legal Business Name | LIFE LEARNING COUNSELING, PLLC
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 140 PRESTON EXECUTIVE DR STE 100L
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City | CARY
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State | NC
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Zip | 27513-8488
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Country | US
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Telephone | 919-748-0771
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Fax | 919-256-5174
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Provider Business Mailing Address
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Address Line | 602 LACONIA WOODS PL
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City | CARY
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State | NC
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Zip | 27519-8877
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Country | US
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Telephone | 919-748-0771
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Fax | 919-256-5174
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Authorized Official
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Title or Position | OWNER
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Name | LEAH MARY LEYNOR
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Credential | LMFT
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Telephone | 919-748-0771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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