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General NPI Number Information
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NPI Number | 1639096811
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Entity Type | Organization
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Legal Business Name | STILL GROUND COUNSELING, PLLC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 304 NOBLE CT
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City | HAVELOCK
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State | NC
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Zip | 28532-0548
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Country | US
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Telephone | 984-246-2856
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 103
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City | ARAPAHOE
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State | NC
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Zip | 28510-0103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST AND PRACTICE OWNER
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Name | SAMANTHA SHOWN
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Credential | MA, LCMHCA
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Telephone | 503-704-5117
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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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