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General NPI Number Information
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NPI Number | 1902511660
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Entity Type | Organization
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Legal Business Name | A.GOSS AND ASSOCIATES LLC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 4422 SILVERFOX LANE
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City | RICHMOND
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State | VA
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Zip | 23223-5654
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Country | US
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Telephone | 919-895-1255
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Fax |
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Provider Business Mailing Address
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Address Line | 4422 SILVERFOX LANE
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City | RICHMOND
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State | VA
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Zip | 23223-5654
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Country | US
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Telephone | 919-895-1255
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH CLINICIAN
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Name | ASHLEY LASHAWN GOSS
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Credential | M.A., LMHP
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Telephone | 919-895-1255
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 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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