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NPI 1770128936

NPI 1770128936 : ANEW DAWN COUNSELING AND CONSULTING, PLLC : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1770128936
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANEW DAWN COUNSELING AND CONSULTING, PLLC 
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Dates
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    Enumeration Date     |    11/12/2019
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    Last Update Date     |    04/05/2021
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Provider Practice Location Address
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    Address Line         |    907 HAY ST STE 104 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28305-5352
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    Country              |    US
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    Telephone            |    910-639-5425
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    Fax                  |    910-779-0279
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Provider Business Mailing Address
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    Address Line         |    2187 SPRING BRANCH RD 
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    City                 |    TAR HEEL
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    State                |    NC
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    Zip                  |    28392-8550
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    Country              |    US
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    Telephone            |    910-549-8149
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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                 |     DAWN DEBRECA BELLE-GADDY 
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    Credential           |    LCSW
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    Telephone            |    910-639-5425
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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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