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NPI 1760194898

NPI 1760194898 : RESPIRA COUNSELING SERVICES : SANFORD, NC

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General NPI Number Information
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    NPI Number           |    1760194898
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    Entity Type          |    Organization 
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    Legal Business Name  |    RESPIRA COUNSELING SERVICES 
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Dates
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    Enumeration Date     |    12/20/2022
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    Last Update Date     |    01/09/2026
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Provider Practice Location Address
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    Address Line         |    2515 WATSON AVE STE 111 
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    City                 |    SANFORD
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    State                |    NC
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    Zip                  |    27332-6173
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    Country              |    US
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    Telephone            |    919-307-1847
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2515 WATSON AVE STE 111 
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    City                 |    SANFORD
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    State                |    NC
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    Zip                  |    27332-6173
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    Country              |    US
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    Telephone            |    919-307-1847
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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                 |     DIANA CAROLINA MARROQUIN JIMENEZ 
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    Credential           |    LCMHC
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    Telephone            |    252-589-9936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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