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General NPI Number Information
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NPI Number | 1609617216
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Entity Type | Organization
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Legal Business Name | HOPE-LA CENTER FOR THERAPY, WELLNESS, AND TRAINING, LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 2404 CARDINGTON DR
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City | COLUMBIA
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State | SC
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Zip | 29209-3212
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Country | US
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Telephone | 803-477-7762
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Fax |
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Provider Business Mailing Address
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Address Line | 4464 DEVINE ST STE M #1308
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City | COLUMBIA
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State | SC
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Zip | 29205
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Country | US
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Telephone | 803-881-4673
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA L. DARDEN
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Credential | DSW, LISW-CP
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Telephone | 803-881-4673
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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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