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General NPI Number Information
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NPI Number | 1902670417
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Entity Type | Organization
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Legal Business Name | IN THE LIGHT COUNSELING LLC
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 300 DAVIS AVE STE 100F
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City | PASS CHRISTIAN
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State | MS
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Zip | 39571-4543
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Country | US
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Telephone | 228-382-3252
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 87
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City | PASS CHRISTIAN
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State | MS
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Zip | 39571-0087
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE VALDES
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Credential | LPC
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Telephone | 228-382-3252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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