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General NPI Number Information
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NPI Number | 1629654926
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Entity Type | Organization
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Legal Business Name | BK COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 233 S SHARON AMITY RD STE 203
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City | CHARLOTTE
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State | NC
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Zip | 28211-2895
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Country | US
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Telephone | 704-817-7401
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 CINNAMON DR
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City | MATTHEWS
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State | NC
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Zip | 28104-6202
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Country | US
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Telephone | 828-388-2399
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Fax |
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Authorized Official
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Title or Position | COUNSELOR PROFESSIONAL AND CO-OWNER
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Name | CAYLEE DANYELL KING
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Credential | LCMHCA, LPCA, NCC
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Telephone | 704-817-7687
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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 |
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License Number State |
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