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General NPI Number Information
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NPI Number | 1609492586
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Entity Type | Organization
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Legal Business Name | MAJESTIC SUPPORT SERVICES, LLC
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 610 LYNNDALE CT STE E
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City | GREENVILLE
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State | NC
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Zip | 27858-5400
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Country | US
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Telephone | 252-227-4766
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Fax | 252-227-4767
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Provider Business Mailing Address
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Address Line | PO BOX 699
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City | WINTERVILLE
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State | NC
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Zip | 28590-0699
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Country | US
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Telephone | 252-227-4766
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Fax | 252-227-4767
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Authorized Official
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Title or Position | DIRECTOR
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Name | IKAMIE TAFT
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Credential |
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Telephone | 252-341-9572
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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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Taxonomy #2
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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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Taxonomy #3
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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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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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