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General NPI Number Information
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NPI Number | 1679432207
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Entity Type | Individual
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Provider Name | PORTIA NEAT LPC-A
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3520 W MONTAGUE AVE STE 201
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City | NORTH CHARLESTON
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State | SC
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Zip | 29418-6099
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Country | US
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Telephone | 843-793-2104
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Fax |
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Provider Business Mailing Address
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Address Line | 215 E BAY ST STE 201K
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City | CHARLESTON
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State | SC
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Zip | 29401-2635
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Country | US
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Telephone | 843-779-9482
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8099
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License Number State | SC
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