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General NPI Number Information
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NPI Number | 1902618945
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Entity Type | Organization
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Legal Business Name | JOURNEY TO HOPE COUNSELING, LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 307 LAFAYETTE BLVD STE 100
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-6079
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Country | US
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Telephone | 540-479-1661
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Fax | 540-479-1663
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Provider Business Mailing Address
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Address Line | 307 LAFAYETTE BLVD STE 100
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-6079
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Country | US
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Telephone | 540-479-1661
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Fax | 540-479-1663
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | SUSAN BLOCKER WALDEN
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Credential | MA, LPC, NCC
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Telephone | 540-479-1661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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