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General NPI Number Information
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NPI Number | 1639621360
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Entity Type | Organization
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Legal Business Name | WHISPERING WILLOWS COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 403 PARKWAY SUITE G
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City | GREENSBORO
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State | NC
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Zip | 27401-1652
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Country | US
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Telephone | 336-265-8420
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Fax | 844-273-3668
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Provider Business Mailing Address
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Address Line | 403 PARKWAY SUITE G
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City | GREENSBORO
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State | NC
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Zip | 27401-1652
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Country | US
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Telephone | 336-265-8420
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Fax | 844-273-3668
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Authorized Official
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Title or Position | CEO
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Name | NIKKI CALDWELL
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Credential | LPC
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Telephone | 336-327-6118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7694
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License Number State | NC
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