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General NPI Number Information
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NPI Number | 1770823544
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Entity Type | Organization
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Legal Business Name | COUNSELING SYNERGY, PLLC
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 830 HENDERSONVILLE RD STE 3
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City | ASHEVILLE
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State | NC
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Zip | 28803-6613
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Country | US
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Telephone | 828-234-0741
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Fax |
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Provider Business Mailing Address
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Address Line | 30 WESTGATE PKWY # 172
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City | ASHEVILLE
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State | NC
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Zip | 28806-3835
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Country | US
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Telephone | 828-234-0741
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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. JOSEPH THOMAS LAWLESS IV
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Credential | LPC
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Telephone | 828-234-0741
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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 | 9717
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License Number State | NC
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