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NPI 1770606501

NPI 1770606501 : LEA HARRELL PUTNAM M.ED. : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1770606501
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    Entity Type          |    Individual 
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    Provider Name        |    LEA HARRELL PUTNAM M.ED.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/08/2007
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    Last Update Date     |    11/06/2025
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Provider Practice Location Address
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    Address Line         |    76 OLD SPRINGDALE DR 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28791-2510
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    Country              |    US
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    Telephone            |    828-698-9465
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 135 
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    City                 |    BAT CAVE
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    State                |    NC
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    Zip                  |    28710-0135
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    Country              |    US
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    Telephone            |    828-222-0489
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    Fax                  |    844-234-7856
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    4664
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    License Number State |    NC
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