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General NPI Number Information
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NPI Number | 1770391542
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Entity Type | Organization
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Legal Business Name | PURE HONEY COUNSELING AND WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 12/25/2024
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Provider Practice Location Address
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Address Line | 1586 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43205-2153
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Country | US
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Telephone | 614-347-9455
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Fax |
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Provider Business Mailing Address
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Address Line | 1586 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43205-2153
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Country | US
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Telephone | 614-347-9455
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM DE'ANGELO STINCHCOMB
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Credential | LPCC-S, CDCA
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Telephone | 614-347-9455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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