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General NPI Number Information
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NPI Number | 1629848007
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Entity Type | Organization
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Legal Business Name | B.WELL COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 920 HOUNDSLAKE DR # B204
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City | AIKEN
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State | SC
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Zip | 29803-5924
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Country | US
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Telephone | 864-517-6309
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Fax |
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Provider Business Mailing Address
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Address Line | 920 HOUNDSLAKE DR # B204
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City | AIKEN
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State | SC
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Zip | 29803-5924
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Country | US
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Telephone | 803-816-1260
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BROOKE BECKWITH DAVIS
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Credential | LISW-CP
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Telephone | 864-517-6309
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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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