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General NPI Number Information
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NPI Number | 1013454024
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Entity Type | Organization
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Legal Business Name | H.E.A.R.T. CENTER FOR FAMILIES, LLC
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Dates
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Enumeration Date | 01/28/2017
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Last Update Date | 01/28/2017
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Provider Practice Location Address
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Address Line | 60B EASTBROOK BND
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-1530
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Country | US
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Telephone | 706-372-1772
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Fax |
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Provider Business Mailing Address
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Address Line | 60B EASTBROOK BND
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-1530
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Country | US
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Telephone | 706-372-1772
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MEGHAN HARBIN
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Credential | LCSW, RYT
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Telephone | 706-372-1772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW005534
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License Number State | GA
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