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General NPI Number Information
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NPI Number | 1932775640
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Entity Type | Organization
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Legal Business Name | SPEAK-IT INTO EXISTENCE COUNSELING, CONSULTING & COACHING, LLC
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 420 LONDON PRIDE RD
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City | IRMO
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State | SC
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Zip | 29063-2735
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Country | US
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Telephone | 803-479-2473
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Fax |
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Provider Business Mailing Address
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Address Line | 420 LONDON PRIDE RD
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City | IRMO
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State | SC
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Zip | 29063-2735
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER LASHAWN FOOTMAN
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Credential | LPC
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Telephone | 803-479-2473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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