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General NPI Number Information
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NPI Number | 1932050747
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Entity Type | Organization
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Legal Business Name | SELAH COUNSELING SERVICES
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 301 CONCOURSE BLVD STE 230
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5643
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Country | US
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Telephone | 757-346-2316
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Fax | 757-866-5603
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Provider Business Mailing Address
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Address Line | 96 MOONEFIELD DR
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City | SMITHFIELD
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State | VA
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Zip | 23430-1640
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Country | US
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Telephone | 757-346-2316
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Fax | 757-866-5603
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMANDA HICKERSON
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Credential | LPC, LCMHCS
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Telephone | 757-346-2316
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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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