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General NPI Number Information
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NPI Number | 1023345709
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Entity Type | Organization
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Legal Business Name | THE RENEWAL GROUP FOR TREATMENT AND COUNSELING, INC.
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 3915 CASCADE ROAD SUITE 350
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City | ATLANTA
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State | GA
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Zip | 30331
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Country | US
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Telephone | 404-549-9680
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Fax | 404-549-9818
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Provider Business Mailing Address
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Address Line | 3915 CASCADE ROAD SUITE 350
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City | ATLANTA
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State | GA
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Zip | 30331
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Country | US
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Telephone | 404-549-9680
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Fax | 404-549-9818
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | CAROLYN HARPE WALLER
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Credential |
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Telephone | 404-549-9680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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