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General NPI Number Information
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NPI Number | 1962315887
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Entity Type | Organization
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Legal Business Name | SALT & SHORE WELLNESS, PLLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 780 LYNNHAVEN PKWY STE 400
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7332
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Country | US
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Telephone | 757-541-8076
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 CARLTON E
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3134
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Country | US
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Telephone | 757-773-3957
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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 | MRS. EMILEIGH ELIZABETH ALLEN
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Credential | LPC
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Telephone | 757-773-3957
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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 | NULL
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Taxonomy #2
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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 | NULL
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