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General NPI Number Information
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NPI Number | 1710245543
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Entity Type | Organization
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Legal Business Name | RESILIENT JOURNEYS, PLLC
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 220 3RD AVE W STE A
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4331
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Country | US
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Telephone | 828-376-0055
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Fax | 828-376-0155
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Provider Business Mailing Address
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Address Line | PO BOX 1426
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City | HENDERSONVILLE
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State | NC
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Zip | 28793-1426
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Country | US
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Telephone | 828-376-0055
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Fax | 828-376-0155
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. MARIA S. WHITE
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Credential | LCSW/LCAS
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Telephone | 828-376-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1752
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License Number State | NC
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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 | C005794
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C005794
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License Number State | NC
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