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General NPI Number Information
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NPI Number | 1558182790
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Entity Type | Organization
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Legal Business Name | ORENDA THERAPEUTIC SERVICES, PLLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 101 WEBB RD
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City | ROGERSVILLE
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State | TN
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Zip | 37857-7214
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Country | US
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Telephone | 423-218-9468
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Fax | 833-523-2283
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Provider Business Mailing Address
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Address Line | 101 WEBB RD
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City | ROGERSVILLE
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State | TN
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Zip | 37857-7214
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Country | US
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Telephone | 423-218-9468
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Fax | 833-523-2283
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Authorized Official
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Title or Position | CEO/MANAGING MEMBER/ THERAPIST
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Name | MS. FELISA DUNLAP
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Credential | MS., LMFT
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Telephone | 423-218-9468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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