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General NPI Number Information
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NPI Number | 1972457877
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Entity Type | Organization
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Legal Business Name | INNER SANCTUM THERAPY LLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 301 CEDAR ST
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City | RICHMOND
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State | VA
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Zip | 23223-6917
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Country | US
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Telephone | 203-709-0446
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Fax | 804-587-8567
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Provider Business Mailing Address
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Address Line | 301 CEDAR ST
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City | RICHMOND
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State | VA
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Zip | 23223-6917
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Country | US
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Telephone | 203-709-0446
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Fax | 804-587-8567
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Authorized Official
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Title or Position | OWNER
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Name | ESSENCE CYMMONE MISTY SCOTT
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Credential | PH.D, LPC
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Telephone | 203-709-0446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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