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NPI 1750394284

NPI 1750394284 : VIRGINIA M BONEY PH.D., LMFT, LMHC : BLUFFTON, SC

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General NPI Number Information
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    NPI Number           |    1750394284
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    Entity Type          |    Individual 
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    Provider Name        |    VIRGINIA M BONEY PH.D., LMFT, LMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/14/2006
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    Last Update Date     |    12/22/2025
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Provider Practice Location Address
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    Address Line         |    321 GOOD HOPE RD 
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    City                 |    BLUFFTON
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    State                |    SC
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    Zip                  |    29909-3108
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    Country              |    US
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    Telephone            |    904-236-3963
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    321 GOOD HOPE RD 
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    City                 |    BLUFFTON
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    State                |    SC
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    Zip                  |    29909-3108
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    Country              |    US
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    Telephone            |    904-236-3963
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MT 1924
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    8306
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    License Number State |    SC
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