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General NPI Number Information
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NPI Number | 1588542583
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Entity Type | Organization
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Legal Business Name | CULTIVATE COUNSELING PLLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 105 W CORBIN ST STE 102
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2199
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Country | US
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Telephone | 919-627-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 ORANGEWOOD DR
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City | DURHAM
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State | NC
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Zip | 27705-2210
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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 | CLINICIAN/ORGANIZER
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Name | KATHRYN HAWKS DEROECK BIGSBY
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Credential | LCSW
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Telephone | 336-782-0844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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