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NPI 1750975025

NPI 1750975025 : SCHILLER COACHING SERVICES, PC : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1750975025
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCHILLER COACHING SERVICES, PC 
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Dates
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    Enumeration Date     |    02/26/2021
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    Last Update Date     |    02/26/2021
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Provider Practice Location Address
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    Address Line         |    309 LYNNHAVEN PKWY STE 100 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23452-7411
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    Country              |    US
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    Telephone            |    757-635-5008
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    Fax                  |    757-277-0291
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Provider Business Mailing Address
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    Address Line         |    309 LYNNHAVEN PKWY STE 100 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23452-7411
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    Country              |    US
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    Telephone            |    757-635-5008
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MARIE  SCHILLER 
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    Credential           |    LMFT
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    Telephone            |    757-635-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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