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General NPI Number Information
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NPI Number | 1861979270
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Entity Type | Organization
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Legal Business Name | PERI COUNSELING, PLLC
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 1310 E ARLINGTON BLVD STE A
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City | GREENVILLE
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State | NC
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Zip | 27858-9976
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Country | US
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Telephone | 252-493-6215
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Fax |
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Provider Business Mailing Address
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Address Line | 316 BROOKSIDE DR
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City | GREENVILLE
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State | NC
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Zip | 27858-4960
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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 | PRINCIPAL COUNSELOR
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Name | SARA P CULPEPPER
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Credential | LPC, LCAS
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Telephone | 252-493-6215
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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 | 12049
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 12049
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 12049
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 21446
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License Number State | NC
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