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General NPI Number Information
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NPI Number | 1649541855
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Entity Type | Organization
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Legal Business Name | WELL MARRIAGE CENTER, LLC
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 1410 INCARNATION DRIVE SUITE 205B
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901
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Country | US
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Telephone | 434-288-0536
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 351
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City | RUCKERSVILLE
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State | VA
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Zip | 22968
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Country | US
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Telephone | 434-414-2388
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHET DENLINGER
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Credential |
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Telephone | 434-414-2388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0904006827
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License Number State | VA
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