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General NPI Number Information
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NPI Number | 1710402227
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Entity Type | Organization
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Legal Business Name | HALL COUNSELING SERVICES, LLC.
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 08/04/2017
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Provider Practice Location Address
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Address Line | 1727 KING ST STE 105
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2700
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Country | US
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Telephone | 704-307-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 15324 KENSINGTON PARK DR
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City | WOODBRIDGE
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State | VA
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Zip | 22191-6570
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOTHERAPIST
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Name | MAHOGANY HALL
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Credential |
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Telephone | 704-307-5800
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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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