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General NPI Number Information
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NPI Number | 1598331548
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Entity Type | Organization
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Legal Business Name | DARE TO EVOLVE COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 205 MEDICAL CIR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3653
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Country | US
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Telephone | 336-350-5218
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Fax |
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Provider Business Mailing Address
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Address Line | 205 MEDICAL CIR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3653
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Country | US
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Telephone | 803-386-5936
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | LAUREN POINTER
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Credential | LISW-CP
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Telephone | 803-386-5936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 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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