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General NPI Number Information
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NPI Number | 1639043771
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Entity Type | Organization
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Legal Business Name | N.S.DAWSON TRANSFORMATIVE THERAPEUTIC SERVICES PLLC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 12832 HOPEWELL AVE
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-6565
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Country | US
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Telephone | 704-608-8304
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Fax |
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Provider Business Mailing Address
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Address Line | 5540 CENTERVIEW DR STE 204
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City | RALEIGH
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State | NC
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Zip | 27606-8012
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Country | US
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Telephone | 704-608-8304
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | NEISHA SHEMAY PETTAWAY
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Credential | LCMHC
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Telephone | 704-608-8304
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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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