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General NPI Number Information
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NPI Number | 1699447409
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Entity Type | Organization
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Legal Business Name | OPTIMISTIC SOLUTIONS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 815 SAVANNAH HWY STE 101
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City | CHARLESTON
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State | SC
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Zip | 29407-7350
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Country | US
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Telephone | 843-823-6940
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Fax | 843-531-9240
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Provider Business Mailing Address
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Address Line | 815 SAVANNAH HWY STE 101
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City | CHARLESTON
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State | SC
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Zip | 29407-7350
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Country | US
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Telephone | 843-823-6940
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Fax | 843-531-9240
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | STEPHANIE NICOLE GORE
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Credential | LPC
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Telephone | 843-823-6940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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