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General NPI Number Information
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NPI Number | 1699584292
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Entity Type | Organization
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Legal Business Name | BENDING BRANCH COUNSELING, PLLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 153 OAK PARK DR
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City | CLYDE
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State | NC
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Zip | 28721-8494
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Country | US
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Telephone | 828-565-1304
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Fax |
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Provider Business Mailing Address
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Address Line | 89 WAYNESVILLE PLZ # 1052
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City | WAYNESVILLE
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State | NC
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Zip | 28786-2990
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Country | US
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Telephone | 828-565-1304
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Fax |
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Authorized Official
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Title or Position | CLINICAL MENTAL HEALTH COUNSELOR
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Name | SYDNEY PIFER
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Credential | LCMHCA
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Telephone | 828-565-1304
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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 |
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License Number State |
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