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NPI 1558265686

NPI 1558265686 : APPALACHIAN INTEGRATIVE PSYCHOLOGY, PLLC : KINGSPORT, TN

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General NPI Number Information
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    NPI Number           |    1558265686
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    Entity Type          |    Organization 
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    Legal Business Name  |    APPALACHIAN INTEGRATIVE PSYCHOLOGY, PLLC 
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Dates
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    Enumeration Date     |    10/03/2026
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    Last Update Date     |    10/03/2026
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Provider Practice Location Address
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    Address Line         |    2401 N JOHN B DENNIS HWY RM 239 
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    City                 |    KINGSPORT
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    State                |    TN
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    Zip                  |    37660-4773
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    Country              |    US
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    Telephone            |    423-218-2210
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2401 N JOHN B DENNIS HWY RM 239 
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    City                 |    KINGSPORT
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    State                |    TN
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    Zip                  |    37660-4773
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PSYCHOLOGIST
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    Name                 |     CHRISTOPHER ADAM LOVE 
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    Credential           |    PSYD
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    Telephone            |    423-218-2210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    NULL
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