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General NPI Number Information
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NPI Number | 1730039538
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Entity Type | Organization
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Legal Business Name | LOCK-N-KEY PRISON WIVES AFTERMATH #101
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 428 S MAIN ST
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City | DAVIDSON
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State | NC
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Zip | 28036-7063
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Country | US
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Telephone | 973-805-0509
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Fax | 973-805-0509
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Provider Business Mailing Address
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Address Line | 428 S MAIN ST
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City | DAVIDSON
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State | NC
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Zip | 28036-7063
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Country | US
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Telephone | 973-805-0509
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Fax | 973-805-0509
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Authorized Official
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Title or Position | VISIONARY & FOUNDER
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Name | MRS. TOTISHA PHELPS
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Credential | PHELPS
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Telephone | 973-805-0509
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #11
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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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