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General NPI Number Information
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NPI Number | 1912881608
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Entity Type | Organization
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Legal Business Name | AURORA COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 40 COURT STREET
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City | MATHEWS
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State | VA
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Zip | 23109-2167
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Country | US
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Telephone | 804-824-7244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1562
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City | MATHEWS
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State | VA
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Zip | 23109-1562
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Country | US
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Telephone | 804-824-7244
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA MICHELLE HALLBERG
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Credential | LPC, CSOTP
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Telephone | 804-824-7244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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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