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General NPI Number Information
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NPI Number | 1629804315
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH ADVOCATES LLC
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1604 SANTA ROSA RD RM 115
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City | HENRICO
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State | VA
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Zip | 23229-5008
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Country | US
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Telephone | 804-690-2537
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Fax |
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Provider Business Mailing Address
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Address Line | 10712 PROVIDENCE PARK DR
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City | ASHLAND
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State | VA
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Zip | 23005-7488
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Country | US
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Telephone | 804-690-2537
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER ERICKSON
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Credential | LPC
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Telephone | 804-690-2537
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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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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