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General NPI Number Information
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NPI Number | 1851065528
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Entity Type | Organization
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Legal Business Name | THE HIGH PLACE FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 5705 LYNNHAVEN PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-9152
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Country | US
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Telephone | 757-797-4839
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Fax |
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Provider Business Mailing Address
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Address Line | 5705 LYNNHAVEN PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-9152
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Country | US
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Telephone | 757-797-4839
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | AIYANNA SPELLMAN
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Credential | MA
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Telephone | 757-797-4839
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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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License Number State |
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