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General NPI Number Information
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NPI Number | 1598346363
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Entity Type | Organization
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Legal Business Name | CAROLINA COUNSELING PLLC
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 702A JOHNS HOPKINS DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7220
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Country | US
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Telephone | 252-550-2545
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Fax | 252-427-2584
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Provider Business Mailing Address
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Address Line | 3928 ASHCROFT DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-8946
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Country | US
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Telephone | 252-218-5582
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Fax | 508-433-1871
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL GARMAN
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Credential | LCSW
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Telephone | 252-218-5582
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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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