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General NPI Number Information
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NPI Number | 1922990621
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Entity Type | Organization
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Legal Business Name | COUNSELING AND FAMILY ENRICHMENT LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 4408 FOREST DR STE 102
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City | COLUMBIA
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State | SC
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Zip | 29206-3162
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Country | US
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Telephone | 949-282-9667
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Fax |
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Provider Business Mailing Address
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Address Line | 4408 FOREST DR STE 102
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City | COLUMBIA
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State | SC
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Zip | 29206-3162
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Country | US
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Telephone | 949-282-9667
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Fax |
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Authorized Official
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Title or Position | PARTNER/THERAPIST
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Name | MRS. DEIDRA RILEY
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Credential | LPC-A
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Telephone | 949-282-9667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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