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General NPI Number Information
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NPI Number | 1598201485
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Entity Type | Organization
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Legal Business Name | PROHEALTH COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 126 KINGSGATE CT
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City | STATESVILLE
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State | NC
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Zip | 28625-2718
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Country | US
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Telephone | 980-231-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 126 KINGSGATE CT
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City | STATESVILLE
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State | NC
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Zip | 28625-2718
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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 | OWNER
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Name | APRIL RORABAUGH
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Credential | LPC
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Telephone | 813-842-6018
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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 | 10769
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License Number State | NC
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