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General NPI Number Information
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NPI Number | 1780564583
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Entity Type | Organization
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Legal Business Name | TAILOREDMIND
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1260 N JAMES ESTATES DR
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City | HENRICO
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State | VA
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Zip | 23231-5869
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Country | US
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Telephone | 646-505-9610
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 N JAMES ESTATES DR
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City | HENRICO
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State | VA
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Zip | 23231-5869
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Country | US
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Telephone | 646-505-9610
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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 | GIANA MCKAY
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Credential | LPC
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Telephone | 646-505-9610
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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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