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General NPI Number Information
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NPI Number | 1982251104
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Entity Type | Organization
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Legal Business Name | INSPIRING CHANGE PLLC
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 1830 OWEN DR STE 103
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3412
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Country | US
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Telephone | 910-273-1393
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Fax | 910-764-6756
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Provider Business Mailing Address
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Address Line | 1930 TAR HEEL RD
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City | LUMBERTON
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State | NC
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Zip | 28358-8752
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Country | US
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Telephone | 910-273-1393
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Fax | 910-764-6756
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Authorized Official
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Title or Position | CO-OWNER
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Name | JUANITA HARDING
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Credential | LCSW,LCAS
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Telephone | 910-273-1393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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