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General NPI Number Information
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NPI Number | 1952972119
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Entity Type | Organization
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Legal Business Name | SAGE COUNSELING LLC
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 104 TRADE ST STE C
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City | GREER
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State | SC
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Zip | 29651-3428
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Country | US
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Telephone | 864-358-9116
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Fax |
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Provider Business Mailing Address
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Address Line | 217 HARTWOOD LAKE LN
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City | GREER
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State | SC
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Zip | 29650-1085
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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 | CEO, PSYCHOTHERAPIST
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Name | MRS. REBECCA TOULSON
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Credential | LPC, NCC
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Telephone | 864-358-9116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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