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General NPI Number Information
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NPI Number | 1619415932
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Entity Type | Organization
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Legal Business Name | FLOURISH COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 2525 RAEFORD RD STE B
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5091
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Country | US
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Telephone | 910-764-6112
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Fax | 910-491-8902
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Provider Business Mailing Address
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Address Line | 2525 RAEFORD RD STE B
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5091
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Country | US
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Telephone | 910-764-6112
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Fax | 910-491-8902
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | JERI STRONG
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Credential | LPC, LMFT
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Telephone | 910-764-6112
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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 | 11294
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License Number State | NC
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