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General NPI Number Information
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NPI Number | 1992390124
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Entity Type | Organization
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Legal Business Name | OAKVIEW COUNSELING LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 4262 POPPS FERRY RD
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City | DIBERVILLE
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State | MS
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Zip | 39540-2391
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Country | US
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Telephone | 228-438-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 989 GREYSTONE DR
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City | BILOXI
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State | MS
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Zip | 39532-2251
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Country | US
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Telephone | 228-438-0377
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAMILLA JOY MOORE
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Credential | LPC
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Telephone | 601-384-7551
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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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