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General NPI Number Information
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NPI Number | 1619792561
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Entity Type | Organization
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Legal Business Name | LIVING WELL COUNSELING AND CONSULTING SERVICES PLLC
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Dates
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Enumeration Date | 11/16/2024
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 9565 CLIFFDALE RD # 116
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-5956
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Country | US
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Telephone | 910-302-3302
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Fax |
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Provider Business Mailing Address
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Address Line | 9565 CLIFFDALE RD # 116
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-5956
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Country | US
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Telephone | 614-937-6643
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | MRS. LATONYA CRUMWELL
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Credential | M.ED., LCMHC., NCC
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Telephone | 614-937-6643
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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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