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General NPI Number Information
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NPI Number | 1952268310
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Entity Type | Organization
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Legal Business Name | 912 MENTAL HEALTH, PLLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1803 SECHRIST CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3547
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Country | US
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Telephone | 757-434-5344
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Fax |
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Provider Business Mailing Address
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Address Line | 1803 SECHRIST CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3547
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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 | LICENSED PROFESSIONAL COUNSELOR
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Name | DR. KIRA MARI CANDELIERI
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Credential | PHD, LPC, NCC, CCMHC
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Telephone | 757-434-5344
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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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