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General NPI Number Information
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NPI Number | 1982093035
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Entity Type | Organization
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Legal Business Name | TEAL PEOPLES HOLISTIC COUNSELING & CONSULTATION
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 942 STEBONDALE RD
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City | COLUMBIA
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State | SC
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Zip | 29203-4302
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Country | US
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Telephone | 888-502-9591
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Fax |
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Provider Business Mailing Address
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Address Line | 5909 EDINBOROUGH DR
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City | CHARLOTTE
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State | NC
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Zip | 28216-2254
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Country | US
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Telephone | 704-449-9666
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Fax |
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Authorized Official
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Title or Position | CLIMICAL DIRECTOR
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Name | MRS. TEAL PEOPLES
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Credential | LCSW, LCAS LISW
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Telephone | 704-449-9666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 9764
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License Number State | SC
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