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General NPI Number Information
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NPI Number | 1992626816
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Entity Type | Organization
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Legal Business Name | FLUIDITY PLLC DBA PAUSE PIVOT FLOW COUNSELING SERVICES
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 367 DELLWOOD RD STE C3
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City | WAYNESVILLE
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State | NC
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Zip | 28786-3150
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Country | US
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Telephone | 828-506-3255
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Fax |
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Provider Business Mailing Address
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Address Line | 14 HAZEL ST
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City | CANTON
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State | NC
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Zip | 28716-4109
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Country | US
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Telephone | 828-506-3255
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Fax | 828-367-1216
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE CLARK
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Credential |
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Telephone | 828-506-3255
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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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