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General NPI Number Information
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NPI Number | 1780307561
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Entity Type | Organization
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Legal Business Name | G.O.O.D. LIFE THERAPY,PLLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 5 CENTERVIEW DR STE 181
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City | GREENSBORO
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State | NC
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Zip | 27407-3709
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Country | US
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Telephone | 336-582-0599
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Fax |
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Provider Business Mailing Address
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Address Line | 4410 WOLF RUN DR
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City | GREENSBORO
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State | NC
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Zip | 27406-8095
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Country | US
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Telephone |
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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 | BRITTNEY CROSSEN
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Credential | LCMHC-A
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Telephone | 336-908-9493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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