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General NPI Number Information
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NPI Number | 1730714882
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Entity Type | Organization
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Legal Business Name | INSIGHT COUNSELING PROFESSIONALS, PLLC
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 717 GREEN VALLEY RD STE 222
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City | GREENSBORO
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State | NC
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Zip | 27408-2155
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Country | US
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Telephone | 336-544-7679
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Fax |
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Provider Business Mailing Address
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Address Line | 717 GREEN VALLEY RD STE 222
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City | GREENSBORO
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State | NC
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Zip | 27408-2155
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Country | US
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Telephone | 336-690-9386
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Fax | 336-907-4092
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MS. DANIELLE C TYLER
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Credential | LCSW LCASA BC-TMH
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Telephone | 336-943-5312
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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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