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General NPI Number Information
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NPI Number | 1598402810
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Entity Type | Organization
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Legal Business Name | HOLISTIC INSPIRATION, LLC
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 2126 ROBIN HOOD DR
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City | DANVILLE
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State | VA
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Zip | 24540-5802
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Country | US
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Telephone | 434-822-3698
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 ROBIN HOOD DR
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City | DANVILLE
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State | VA
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Zip | 24540-5802
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Country | US
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Telephone | 434-822-3698
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARNELL BROWN
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Credential | LPC, LCMHC
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Telephone | 434-822-3698
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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 |
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License Number State |
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