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General NPI Number Information
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NPI Number | 1851842637
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Entity Type | Organization
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Legal Business Name | WHOLESOME LIFE COUNSELING SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 2615 MEDICAL CENTER PKWY SUITE 1560
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City | MURFREESBORO
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State | TN
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Zip | 37129-2261
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Country | US
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Telephone | 423-316-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 504 SHORELINE LN
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City | ANTIOCH
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State | TN
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Zip | 37013-7431
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | APRIL ETOYE STEWART
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Credential | PH.D., LCSW
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Telephone | 423-316-1170
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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 | 5686
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License Number State | TN
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