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General NPI Number Information
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NPI Number | 1790014256
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Entity Type | Organization
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Legal Business Name | NEW DIRECTIONS CONSULTING GROUP, LLC
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Dates
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Enumeration Date | 12/12/2009
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Last Update Date | 12/12/2009
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Provider Practice Location Address
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Address Line | 652 NIMITZ RD
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City | DOVER
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State | DE
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Zip | 19901-6656
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Country | US
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Telephone | 302-736-5484
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Fax |
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Provider Business Mailing Address
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Address Line | 652 NIMITZ RD
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City | DOVER
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State | DE
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Zip | 19901-6656
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Country | US
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Telephone | 302-736-5484
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MISS PAMELA A MORRISON
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Credential | LPCMH
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Telephone | 302-736-5484
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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 | PC0000479
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License Number State | DE
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