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General NPI Number Information
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NPI Number | 1992504773
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Entity Type | Organization
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Legal Business Name | CAROLINAS DEPRESSION CLINIC PLLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 723 W INNES ST
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City | SALISBURY
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State | NC
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Zip | 28144-4149
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Country | US
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Telephone | 980-330-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1455
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City | ALBEMARLE
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State | NC
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Zip | 28002-1455
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Country | US
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Telephone | 704-438-2945
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RICHARD MCDONALD
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Credential |
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Telephone | 704-438-2945
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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