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General NPI Number Information
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NPI Number | 1598423329
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Entity Type | Organization
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Legal Business Name | ENDLESS POSSIBILITIES COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 4038 GLENNOAK DR
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City | BYRAM
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State | MS
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Zip | 39272-9384
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Country | US
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Telephone | 601-613-6268
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Fax |
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Provider Business Mailing Address
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Address Line | 4038 GLENNOAK DR
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City | BYRAM
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State | MS
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Zip | 39272-9384
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Country | US
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Telephone | 601-672-9277
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SHANICE WHITE
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Credential | LPC-S, NCC, BC-TMH
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Telephone | 601-613-6268
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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 |
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License Number State |
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