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General NPI Number Information
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NPI Number | 1760274732
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Entity Type | Organization
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Legal Business Name | MINDS MATTER COUNSELING, LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 400 S MAIN ST STE D
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City | MAULDIN
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State | SC
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Zip | 29662-2251
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Country | US
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Telephone | 864-715-5305
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Fax | 866-808-0928
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Provider Business Mailing Address
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Address Line | 713 N ADAIR ST
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City | CLINTON
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State | SC
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Zip | 29325-2005
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Country | US
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Telephone | 864-720-9037
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER/THERAPIST
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Name | JULIA THEISZMANN
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Credential | LISW-CP
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Telephone | 864-720-9037
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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 |
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License Number State |
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