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General NPI Number Information
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NPI Number | 1922520345
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Entity Type | Organization
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Legal Business Name | OUTREACH COUNSELING SERVICES INC
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5032 NILES RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-4538
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Country | US
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Telephone | 804-241-9777
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Fax | 804-275-4267
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Provider Business Mailing Address
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Address Line | 5032 NILES RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-4538
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Country | US
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Telephone | 804-241-9777
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Fax | 804-275-4267
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Authorized Official
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Title or Position | CEO
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Name | MS. BEVERLY JANET BANKS
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Credential |
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Telephone | 804-241-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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