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General NPI Number Information
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NPI Number | 1619478641
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Entity Type | Organization
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Legal Business Name | TOUCHSTONE BEHAVIORAL ARTS
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Dates
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Enumeration Date | 02/25/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 117 ORANGE AVE STE C
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834
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Country | US
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Telephone | 804-243-4426
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Fax |
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Provider Business Mailing Address
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Address Line | 117 ORANGE AVE STE C
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-1347
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MS. ROBIN R THROCKMORTON
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Credential | LCSW
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Telephone | 804-243-4426
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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 | 0994002444
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0904004418
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0904004418
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0994002444
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904004418
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0994002444
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License Number State | VA
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