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General NPI Number Information
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NPI Number | 1710507090
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Entity Type | Organization
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Legal Business Name | ADAHSA COUNSELING LLC
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 200 EASCOTT PL
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City | COLUMBIA
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State | SC
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Zip | 29229-5502
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Country | US
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Telephone | 803-269-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 4611 HARD SCRABBLE RD STE 109
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City | COLUMBIA
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State | SC
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Zip | 29229-9499
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Country | US
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Telephone | 803-350-9131
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | LASHANDA PALMER
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Credential | LISW-CP
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Telephone | 803-269-3100
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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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