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General NPI Number Information
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NPI Number | 1598288276
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Entity Type | Organization
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Legal Business Name | OSPREY COUNSELING SOLUTIONS, PLLLC
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 104 WAXHAW PROFESSIONAL PARK DR STE D
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City | WAXHAW
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State | NC
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Zip | 28173-5020
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Country | US
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Telephone | 980-257-6705
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Fax | 704-243-0098
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Provider Business Mailing Address
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Address Line | 104 WAXHAW PROFESSIONAL PARK DR STE D
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City | WAXHAW
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State | NC
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Zip | 28173-5020
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Country | US
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Telephone | 980-257-6705
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Fax | 704-243-0098
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR/PROVIDER
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Name | VIRGINIA D EDDY
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Credential | MED, LPC
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Telephone | 980-257-6705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6134
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9099
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License Number State | NC
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