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General NPI Number Information
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NPI Number | 1710844048
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Entity Type | Organization
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Legal Business Name | NEUROBLOOM COUNSELING PLLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 12305 KENDALL RIDGE CT
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City | DURHAM
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State | NC
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Zip | 27703-8541
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Country | US
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Telephone | 919-537-9763
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Fax |
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Provider Business Mailing Address
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Address Line | 12305 KENDALL RIDGE CT
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City | DURHAM
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State | NC
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Zip | 27703-8541
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Country | US
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Telephone | 919-537-9763
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | STEPHENS CHERRY
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Credential | MS, CRC, LCMHC
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Telephone | 910-619-9757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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