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General NPI Number Information
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NPI Number | 1730078668
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Entity Type | Organization
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Legal Business Name | TONYIA BEHRENDT PROFESSIONAL COUNSELING, PLLC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 114 COMMERCE CENTER LOOP STE D
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City | MOORESVILLE
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State | NC
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Zip | 28117-8385
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Country | US
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Telephone | 970-412-5182
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Fax | 704-412-9286
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Provider Business Mailing Address
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Address Line | 114 COMMERCE CENTER LOOP STE D
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City | MOORESVILLE
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State | NC
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Zip | 28117-8385
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Country | US
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Telephone | 970-412-5182
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Fax | 704-412-9286
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Authorized Official
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Title or Position | OWNER
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Name | TONYIA BEHRENDT
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Credential | LCMHC
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Telephone | 970-412-5182
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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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