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General NPI Number Information
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NPI Number | 1942751763
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Entity Type | Organization
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Legal Business Name | SPAULDING SOLUTIONS COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 910 HOPE MILLS RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4243
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Country | US
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Telephone | 910-425-2321
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Fax |
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Provider Business Mailing Address
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Address Line | 910 HOPE MILLS RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4243
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Country | US
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Telephone | 910-745-9913
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Fax | 910-679-6348
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Authorized Official
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Title or Position | CEO
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Name | AMBROSIA SPAULDING
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Credential | LCSW, LCAS
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Telephone | 910-840-0424
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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 | LCAS20725
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | C009552
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C009552
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License Number State | NC
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