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General NPI Number Information
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NPI Number | 1629883467
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Entity Type | Organization
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Legal Business Name | VIRGINIA TELEHEALTH COUNSELING
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 2906 KIPPLING CT
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City | SUFFOLK
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State | VA
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Zip | 23434-5558
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Country | US
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Telephone | 910-612-1184
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 CENTERBROOKE LANE STE F #113
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City | SUFFOLK
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State | VA
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Zip | 23434-8294
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Country | US
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Telephone | 910-612-1184
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Fax |
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Authorized Official
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Title or Position | LPC AND OWNER
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Name | MORGAN COBB
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Credential | LPC
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Telephone | 910-612-1184
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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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