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General NPI Number Information
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NPI Number | 1992616247
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Entity Type | Organization
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Legal Business Name | BOUND & BALANCED, LLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1801 OLD TROLLEY RD
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8283
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Country | US
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Telephone | 843-781-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 202 TRESTLEWOOD DR
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City | SUMMERVILLE
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State | SC
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Zip | 29486-1824
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Country | US
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Telephone | 810-434-1085
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | MS. EMILEE RAE LAENEN
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Credential | LPCA
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Telephone | 810-434-1085
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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 | 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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