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General NPI Number Information
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NPI Number | 1598540189
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Entity Type | Individual
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Provider Name | KRISTY ELLEN LIVSEY MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1897 GOVERNORS POINTE DR STE B
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City | SUFFOLK
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State | VA
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Zip | 23436-1143
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Country | US
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Telephone | 757-219-2799
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Fax |
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Provider Business Mailing Address
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Address Line | 935 VINEYARD PL UNIT B
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City | SUFFOLK
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State | VA
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Zip | 23435-3780
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Country | US
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Telephone | 757-753-3621
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0701014622
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License Number State | VA
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