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General NPI Number Information
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NPI Number | 1760053425
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Entity Type | Organization
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Legal Business Name | MOUNTAIN SOUL COUNSELING, PLLC
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Dates
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Enumeration Date | 07/05/2021
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 1294 SAVANNAH DR STE 3
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City | SYLVA
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State | NC
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Zip | 28779-7005
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Country | US
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Telephone | 803-522-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 1294 SAVANNAH DR STE 3
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City | SYLVA
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State | NC
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Zip | 28779-7005
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Country | US
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Telephone | 828-547-3790
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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 | SARAH MEHTA
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Credential | LCMHC, LCAS, NCC
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Telephone | 828-547-3790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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