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General NPI Number Information
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NPI Number | 1811708167
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Entity Type | Organization
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Legal Business Name | ACCEPTING GRACE COUNSELING & THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 733 COBBS POINT LN
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City | CHESTER
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State | VA
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Zip | 23836-5932
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Country | US
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Telephone | 804-677-5763
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Fax | 800-398-4082
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Provider Business Mailing Address
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Address Line | 733 COBBS POINT LN
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City | CHESTER
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State | VA
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Zip | 23836-5932
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Country | US
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Telephone | 804-677-5763
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Fax | 800-398-4082
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Authorized Official
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Title or Position | CEO / THERAPIST
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Name | MS. ANICA L WALSTON
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Credential | MC
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Telephone | 804-677-5763
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #3
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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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