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General NPI Number Information
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NPI Number | 1912678830
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Entity Type | Organization
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Legal Business Name | LITTLE LIGHT PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 4 LYNN COVE RD
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City | ASHEVILLE
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State | NC
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Zip | 28804-1909
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Country | US
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Telephone | 828-226-6484
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1042
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City | ASHEVILLE
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State | NC
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Zip | 28802-1042
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Country | US
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Telephone | 828-226-6484
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARJORIE ALLISON
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Credential | LCSW, LISW-CP, LCAS
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Telephone | 828-226-6484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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