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General NPI Number Information
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NPI Number | 1992434526
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Entity Type | Organization
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Legal Business Name | THE ROYAL CARE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 10560 MAIN ST STE 307
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City | FAIRFAX
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State | VA
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Zip | 22030-7175
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Country | US
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Telephone | 443-823-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 10560 MAIN ST STE 415
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City | FAIRFAX
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State | VA
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Zip | 22030-7174
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Country | US
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Telephone | 443-823-2205
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Fax |
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Authorized Official
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Title or Position | OWNER AND MANAGER
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Name | MARY MOUSSA
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Credential | LPCS
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Telephone | 571-318-6710
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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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