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General NPI Number Information
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NPI Number | 1598424343
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE LISTENING COUNSELING CENTER LLC
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 3301 GREEN ST RM 241
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City | CLAYMONT
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State | DE
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Zip | 19703-2052
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Country | US
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Telephone | 302-743-2939
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Fax |
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Provider Business Mailing Address
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Address Line | 207 BRIER AVE
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City | WILMINGTON
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State | DE
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Zip | 19805-1960
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Country | US
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Telephone | 302-743-2939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA DAVIS
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Credential | LCSW/CADC
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Telephone | 302-743-2939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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