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General NPI Number Information
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NPI Number | 1013735844
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Entity Type | Organization
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Legal Business Name | CENTRAL ALABAMA COUNSELING AGENCY LLC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 144 E BROAD ST STE 12
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City | EUFAULA
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State | AL
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Zip | 36027-2024
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Country | US
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Telephone | 478-662-1448
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Fax | 478-239-0212
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Provider Business Mailing Address
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Address Line | 144 E BROAD ST STE 12
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City | EUFAULA
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State | AL
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Zip | 36027-2024
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Country | US
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Telephone | 478-662-1448
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Fax | 478-239-0212
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | MR. DARIUS RAMONE WOODRUFF
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Credential |
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Telephone | 478-662-1448
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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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