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General NPI Number Information
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NPI Number | 1932686680
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Entity Type | Organization
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Legal Business Name | RADIANT HEART COUNSELING
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 7 SKYLYN CT
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City | ASHEVILLE
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State | NC
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Zip | 28806-3922
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Country | US
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Telephone | 808-651-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SKYLYN CT
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City | ASHEVILLE
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State | NC
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Zip | 28806-3922
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Country | US
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Telephone | 808-651-2458
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | RANA KAYE JACKSON
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Credential | LCSW
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Telephone | 808-651-2458
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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 | C009422
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License Number State | NC
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