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General NPI Number Information
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NPI Number | 1669749420
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Entity Type | Individual
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Provider Name | MIA NICHOLE LANIER-WILLIAMS LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2902 N HERRITAGE ST STE A
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City | KINSTON
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State | NC
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Zip | 28501-1580
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Country | US
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Telephone | 252-686-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 DOGWOOD RIDGE DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-8783
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Country | US
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Telephone | 910-546-1627
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1458
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License Number State | NC
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