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General NPI Number Information
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NPI Number | 1851184378
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Entity Type | Organization
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Legal Business Name | SWEET MAGNOLIA COUNSELING LLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 8401 MAYLAND DR # 5942
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 912-559-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 92 MORRISON WAY SE
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City | LUDOWICI
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State | GA
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Zip | 31316-6576
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Country | US
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Telephone | 540-729-0508
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. HONORE MARY SCHRADE
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Credential | LCSW
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Telephone | 540-729-0508
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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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