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General NPI Number Information
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NPI Number | 1891251682
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Entity Type | Organization
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Legal Business Name | CHARLOTTESVILLE EMPOWERMENT: COUNSELING AND WELLNESS SERVICES
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Dates
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Enumeration Date | 02/16/2019
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 801 W MAIN ST STE 206
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4582
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Country | US
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Telephone | 434-270-0892
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Fax |
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Provider Business Mailing Address
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Address Line | 801 W MAIN ST STE 206
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4582
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Country | US
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Telephone | 434-270-0892
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIEF PSYCHOLOGIST
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Name | DR. LATASHA NADASDI
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Credential | PSY.D
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Telephone | 434-270-0892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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