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General NPI Number Information
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NPI Number | 1760355606
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Entity Type | Organization
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Legal Business Name | WELLNESS COVE LLC
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 12742 DAYBREAK CIR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-9519
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Country | US
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Telephone | 804-792-1529
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24
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City | WHITE MARSH
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State | VA
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Zip | 23183-0024
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Country | US
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Telephone | 804-792-1529
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. AUTUMN WOHLFORD
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Credential | LPC, PH.D
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Telephone | 804-792-1529
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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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