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General NPI Number Information
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NPI Number | 1801667068
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Entity Type | Organization
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Legal Business Name | HIGHER GROUND COUNSELING AND CONSULTING PLLC
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 3523 NEVIN BROOK RD
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City | CHARLOTTE
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State | NC
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Zip | 28269-3901
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Country | US
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Telephone | 980-292-6122
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Fax | 980-217-7943
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Provider Business Mailing Address
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Address Line | PO BOX 26663
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City | CHARLOTTE
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State | NC
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Zip | 28221-6663
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Country | US
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Telephone | 980-292-6122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NICOLE B NEWELL
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Credential | LCMHCS
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Telephone | 980-292-6122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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