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General NPI Number Information
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NPI Number | 1801780762
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Entity Type | Organization
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Legal Business Name | MORNING GLORY COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 321 N FRONT ST STE 218
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City | WILMINGTON
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State | NC
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Zip | 28401-3908
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Country | US
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Telephone | 910-519-0226
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Fax |
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Provider Business Mailing Address
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Address Line | 841 BARBON BECK LN
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City | LELAND
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State | NC
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Zip | 28451-1858
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Country | US
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Telephone | 919-455-3586
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Fax |
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Authorized Official
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Title or Position | LCSW, OUTPATIENT THERAPIST
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Name | JOELLE ELISE JACOBS
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Credential | MSW, LCSW
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Telephone | 919-455-3586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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