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General NPI Number Information
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NPI Number | 1780547786
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Entity Type | Organization
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Legal Business Name | STACKED INTERVENTIONS INC.
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 7400 BEAUFONT SPRINGS DR STE 425
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5521
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Country | US
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Telephone | 804-314-8785
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Fax | 888-436-6206
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Provider Business Mailing Address
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Address Line | 7400 BEAUFONT SPRINGS DR STE 425
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5521
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Country | US
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Telephone | 804-314-8785
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Fax | 888-436-6206
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Authorized Official
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Title or Position | CO-OWNER
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Name | COREY ASHTON TOLLIVER SR.
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Credential | LCSW
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Telephone | 804-314-8785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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