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General NPI Number Information
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NPI Number | 1891570586
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Entity Type | Organization
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Legal Business Name | OAK GROVE COUNSELING, LLC
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 2500 GRUBB RD STE 211
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City | WILMINGTON
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State | DE
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Zip | 19810-4796
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Country | US
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Telephone | 484-606-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 GRUBB RD STE 211
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City | WILMINGTON
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State | DE
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Zip | 19810-4796
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Country | US
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Telephone | 484-606-6056
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA ANN MCADAMS
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Credential | M. ED., LPCMH
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Telephone | 484-606-6056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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