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General NPI Number Information
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NPI Number | 1669839650
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Entity Type | Organization
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Legal Business Name | ART OF WELLNESS COUNSELING
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 753 THIMBLE SHOALS BLVD STE 2A
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3575
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Country | US
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Telephone | 757-504-1991
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Fax | 757-594-9830
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Provider Business Mailing Address
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Address Line | 753 THIMBLE SHOALS BLVD STE 2A
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3575
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Country | US
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Telephone | 757-504-1991
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Fax | 757-594-9830
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHIELA G FALLON
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Credential | LPC
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Telephone | 757-504-1991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701002992
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License Number State | VA
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