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General NPI Number Information
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NPI Number | 1942064357
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Entity Type | Organization
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Legal Business Name | UR STORI: BUILDING RESILIENCE UR WAY
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2632 CENTRAL AVE
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City | RICHMOND
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State | VA
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Zip | 23225-2062
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Country | US
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Telephone | 804-433-8915
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Fax | 855-276-1131
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Provider Business Mailing Address
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Address Line | 1601 WILLOW LAWN DR STE 304
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City | RICHMOND
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State | VA
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Zip | 23230-3423
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Country | US
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Telephone | 804-433-8915
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Fax | 855-276-1131
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Authorized Official
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Title or Position | OWNER
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Name | THERESA BUNDY
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Credential | LPC
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Telephone | 804-433-8915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 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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