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General NPI Number Information
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NPI Number | 1679880520
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Entity Type | Organization
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Legal Business Name | WILMAR COUNSELING, PLLC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 158 COUNTRY CLUB RD
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City | WHITEVILLE
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State | NC
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Zip | 28472-9131
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Country | US
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Telephone | 910-642-8393
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Fax | 910-642-8393
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Provider Business Mailing Address
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Address Line | PO BOX 1858
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City | WHITEVILLE
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State | NC
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Zip | 28472-1858
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Country | US
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Telephone | 910-642-8393
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Fax | 910-642-8393
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MRS. AMANDA MARLOWE WILKINS
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Credential | LPC, NCC
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Telephone | 910-642-8393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PC10348
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License Number State | NC
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