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General NPI Number Information
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NPI Number | 1790388775
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Entity Type | Organization
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Legal Business Name | RELAX AND RELEASE THERAPEUTIC SERVICES, PLLC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1613 OWEN DR STE B
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3425
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Country | US
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Telephone | 910-491-8934
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Fax | 910-491-7119
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Provider Business Mailing Address
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Address Line | 1613 OWEN DR STE B
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3425
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Country | US
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Telephone | 910-491-8934
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Fax | 910-491-7119
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | TABITHA FOSTER
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Credential | LCSW
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Telephone | 910-703-4640
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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