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General NPI Number Information
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NPI Number | 1700754496
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Entity Type | Organization
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Legal Business Name | HOMEFRONT WELLNESS GROUP
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Dates
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Enumeration Date | 10/25/2025
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 1108 FAIRWAY DR
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City | CHESAPEAKE
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State | VA
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Zip | 23320-9479
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Country | US
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Telephone | 901-628-3889
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Fax | 757-925-1414
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Provider Business Mailing Address
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Address Line | 1108 FAIRWAY DR
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City | CHESAPEAKE
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State | VA
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Zip | 23320-9479
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Country | US
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Telephone | 901-628-3889
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Fax | 757-925-1414
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Authorized Official
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Title or Position | OWNER/ LICENSED PROFESSIONAL COUNSE
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Name | SUSAN SEVIER MORRISON
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Credential | LPC, NCC
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Telephone | 901-628-3889
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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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