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General NPI Number Information
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NPI Number | 1922716620
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Entity Type | Organization
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Legal Business Name | BARNHILL CREATIVE COUNSELING L.L.C
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 975 ROUTE 73 N STE A
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City | MARLTON
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State | NJ
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Zip | 08053-1281
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Country | US
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Telephone | 718-644-0854
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Fax |
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Provider Business Mailing Address
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Address Line | 65 MAINBRIDGE LN
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City | WILLINGBORO
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State | NJ
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Zip | 08046-2101
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Country | US
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Telephone | 718-644-0854
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. NICOLE THOMAS
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Credential | LCSW
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Telephone | 718-644-0854
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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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