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General NPI Number Information
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NPI Number | 1699155168
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Entity Type | Organization
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Legal Business Name | MOUNTAIN CREATIVE ARTS COUNSELING, PLLC
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Dates
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Enumeration Date | 05/31/2015
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 307 N MAIN ST STE 9-10
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-4902
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Country | US
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Telephone | 828-785-4789
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Fax |
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Provider Business Mailing Address
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Address Line | 823 WILLOW RD
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-5637
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Country | US
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Telephone | 954-801-8678
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR & ART THERAPIST
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Name | KARA ASHLEY-GILMORE
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Credential | LCMHC
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Telephone | 828-785-4789
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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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