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General NPI Number Information
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NPI Number | 1992250682
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Entity Type | Organization
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Legal Business Name | PREMIER COUNSELING
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 4711 FOREST DR STE 3
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City | COLUMBIA
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State | SC
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Zip | 29206-3125
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Country | US
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Telephone | 803-821-8333
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Fax | 864-751-5834
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Provider Business Mailing Address
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Address Line | 4711 FOREST DR STE 3
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City | COLUMBIA
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State | SC
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Zip | 29206-3125
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Country | US
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Telephone | 803-821-8333
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Fax | 864-751-5834
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Authorized Official
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Title or Position | CEO
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Name | JANAY MONIQUE PRICE
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Credential | LCSW
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Telephone | 910-574-1191
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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 |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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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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Taxonomy #8
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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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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