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General NPI Number Information
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NPI Number | 1750535456
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Entity Type | Organization
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Legal Business Name | SOLUTIONS FOR LIFE CLINICAL COUNSELING, LIFE COACHING&CONSULTINGSERVI
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 1801 N TRYON ST SUITES 337 & 335
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City | CHARLOTTE
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State | NC
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Zip | 28206-2704
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Country | US
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Telephone | 704-405-4957
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Fax | 704-405-4958
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Provider Business Mailing Address
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Address Line | 1801 N TRYON ST SUITES 337 & 335
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City | CHARLOTTE
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State | NC
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Zip | 28206-2704
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Country | US
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Telephone | 704-405-4957
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Fax | 704-405-4958
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Authorized Official
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Title or Position | LICENSED PSYCOTHERAPIST
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Name | MS. ADRIENNE RENEE NORWOOD
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Credential | LCSW,QMHP
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Telephone | 704-649-9078
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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 | C005765
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C005765
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License Number State | NC
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