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General NPI Number Information
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NPI Number | 1861876708
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Entity Type | Organization
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Legal Business Name | METRO COUNSELING SERVICES
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 810 TRAVELERS BLVD SUITE 1H
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8258
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Country | US
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Telephone | 843-620-1567
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Fax |
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Provider Business Mailing Address
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Address Line | 810 TRAVELERS BLVD SUITE 1H
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8258
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Country | US
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Telephone | 843-620-1567
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. HEATHER L RYLANCE
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Credential | LPCI
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Telephone | 843-620-1567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 6063
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License Number State | SC
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