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General NPI Number Information
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NPI Number | 1902285174
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Entity Type | Organization
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Legal Business Name | AIM HIGHER SUPPORTIVE SERVICES, INC.
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 12 GOODRICH AVE STE B
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City | PETERSBURG
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State | VA
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Zip | 23805-2120
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Country | US
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Telephone | 804-552-1397
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Fax | 804-895-7853
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Provider Business Mailing Address
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Address Line | PO BOX 396
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-0396
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Country | US
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Telephone | 804-517-8099
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Fax | 804-895-7853
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Authorized Official
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Title or Position | COO
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Name | ALBERTA HILL
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Credential |
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Telephone | 804-552-1397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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