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General NPI Number Information
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NPI Number | 1699598862
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Entity Type | Organization
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Legal Business Name | COURAGEOUS JOURNEYS HEALING CENTER PLLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 2 CENTERVIEW DR STE 43
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City | GREENSBORO
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State | NC
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Zip | 27407-3708
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Country | US
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Telephone | 984-221-9781
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Fax |
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Provider Business Mailing Address
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Address Line | 653 GRASSWREN WAY
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City | GREENSBORO
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State | NC
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Zip | 27409-9143
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Country | US
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Telephone | 336-740-6167
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL THERAPIST
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Name | MRS. CAMILLE DUKES HESTER
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Credential | LCSWA
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Telephone | 336-740-6167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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