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General NPI Number Information
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NPI Number | 1790657815
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Entity Type | Individual
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Provider Name | BRIANA K SPELLMAN LPC
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Gender |
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 103 AVERY CT
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City | SUFFOLK
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State | VA
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Zip | 23434-9251
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Country | US
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Telephone | 757-774-6180
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Fax |
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Provider Business Mailing Address
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Address Line | 103 AVERY CT
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City | SUFFOLK
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State | VA
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Zip | 23434-9251
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Country | US
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Telephone | 757-774-6180
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0701015356
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701015356
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License Number State | VA
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