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General NPI Number Information
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NPI Number | 1649081878
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Entity Type | Organization
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Legal Business Name | SUNSHINE & GLORY COUNSELING PLLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 901 W CHURCH ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-4629
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Country | US
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Telephone | 978-768-8744
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Fax |
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Provider Business Mailing Address
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Address Line | 901 W CHURCH ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-4629
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Country | US
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Telephone | 757-581-1898
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MELISSA D HENRY
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Credential | MA, LPC, LCMHC
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Telephone | 757-581-1898
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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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