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General NPI Number Information
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NPI Number | 1558067272
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Entity Type | Organization
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Legal Business Name | MENTAL BALANCE AND HEALING
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 4907 FITZHUGH AVE STE 202
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City | RICHMOND
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State | VA
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Zip | 23230-3533
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Country | US
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Telephone | 804-396-4106
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Fax | 804-358-0034
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Provider Business Mailing Address
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Address Line | 4907 FITZHUGH AVE STE 202
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City | RICHMOND
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State | VA
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Zip | 23230-3533
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Country | US
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Telephone | 804-396-4106
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Fax | 804-358-0034
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. KIRSTEN NICOLE TALBOTT
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Credential | LPC
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Telephone | 804-396-4106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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