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General NPI Number Information
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NPI Number | 1760285985
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Entity Type | Organization
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Legal Business Name | SOULEIGH CENTERED SOLUTIONS, PLLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 6867 KEENELAND DRIVE
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City | WHITSETT
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State | NC
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Zip | 27377
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Country | US
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Telephone | 336-355-8524
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Fax |
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Provider Business Mailing Address
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Address Line | 1633 NEW GARDEN RD # 2015
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City | GREENSBORO
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State | NC
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Zip | 27410-2001
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Country | US
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Telephone | 336-355-8524
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Fax |
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Authorized Official
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Title or Position | LCMHCA
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Name | JAUNKERRA SANDERS LEIGH
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Credential |
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Telephone | 336-355-8524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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