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General NPI Number Information
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NPI Number | 1003615972
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Entity Type | Organization
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Legal Business Name | THE EMOTIONAL HOSPITAL LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 5014B SNAPFINGER WOODS DR
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City | DECATUR
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State | GA
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Zip | 30035-4003
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Country | US
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Telephone | 404-738-8803
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 WHITE ROCKS WAY
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City | CONYERS
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State | GA
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Zip | 30012-7126
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Country | US
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Telephone | 404-453-9497
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VERONICA LEANA BENTLEY
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Credential | LPC
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Telephone | 404-453-9497
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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 | 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 #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #6
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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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