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General NPI Number Information
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NPI Number | 1669166450
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Entity Type | Organization
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Legal Business Name | WHITNEY GRAVES MENTAL HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 13500 NC HIGHWAY 50 STE 220
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City | SURF CITY
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State | NC
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Zip | 28445-7934
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Country | US
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Telephone | 910-698-8496
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Fax |
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Provider Business Mailing Address
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Address Line | 244 TRADEWINDS DR
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3816
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Country | US
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Telephone | 910-616-1930
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | WHITNEY GRAVES
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Credential | LCSW
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Telephone | 910-616-1930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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