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General NPI Number Information
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NPI Number | 1730970807
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Entity Type | Organization
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Legal Business Name | EBB AND FLOW WELLNESS, PLLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1026 JENI LN
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City | CHARLOTTE
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State | NC
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Zip | 28262-2149
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Country | US
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Telephone | 704-770-6489
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Fax |
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Provider Business Mailing Address
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Address Line | 9805 STATESVILLE RD # 6277
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City | CHARLOTTE
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State | NC
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Zip | 28269-7647
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Country | US
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Telephone | 704-770-6489
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | TAMARA MOBLEY
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Credential | LCSW, LISW-CP
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Telephone | 704-770-6489
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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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