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General NPI Number Information
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NPI Number | 1699157362
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Entity Type | Organization
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Legal Business Name | SHE'S COUNSELING TRICHOLOGY & CONSULTING LLC
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 2638 TWO NOTCH RD SUITE 210
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City | COLUMBIA
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State | SC
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Zip | 29204
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Country | US
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Telephone | 803-936-1550
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Fax | 803-306-6848
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Provider Business Mailing Address
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Address Line | 2638 TWO NOTCH RD SUITE 210
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City | COLUMBIA
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State | SC
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Zip | 29204
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Country | US
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Telephone | 803-638-3535
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Fax |
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Authorized Official
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Title or Position | CEO/LICENSED CLINICAL THERAPIST SUP
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Name | RODSHENNA GANZY
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Credential |
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Telephone | 803-546-3896
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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 | 6471
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6027
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | DE3780
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | DE3780
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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