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General NPI Number Information
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NPI Number | 1962115659
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Entity Type | Organization
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Legal Business Name | PREVAIL COUNSELLING & CONSULTING, PLLC
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 100 BRIARWOOD DR
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City | OAK RIDGE
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State | TN
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Zip | 37830-4201
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Country | US
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Telephone | 865-313-5462
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5911
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City | OAK RIDGE
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State | TN
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Zip | 37831-5911
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Country | US
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Telephone | 865-214-7017
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JOHN MCKINNEY
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Credential |
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Telephone | 865-214-7017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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