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General NPI Number Information
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NPI Number | 1679030472
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Entity Type | Organization
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Legal Business Name | TRIAD CHILD & FAMILY COUNSELING, PLLC
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 2601 OAKCREST AVE STE F
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City | GREENSBORO
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State | NC
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Zip | 27408-4719
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Country | US
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Telephone | 336-701-0267
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 W MARKET ST
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City | GREENSBORO
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State | NC
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Zip | 27403-1453
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. HANNAH COX
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Credential | LPC
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Telephone | 336-701-0267
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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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