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General NPI Number Information
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NPI Number | 1033401633
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Entity Type | Organization
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Legal Business Name | TTB HEALTH CONSULTING, LLC
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Dates
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Enumeration Date | 05/14/2011
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 2001 SHAWN WAYNE CIR SE
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City | ATLANTA
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State | GA
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Zip | 30316-3789
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Country | US
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Telephone | 678-281-1626
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Fax |
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Provider Business Mailing Address
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Address Line | 5452 PO BOX
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City | ATLANTA
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State | GA
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Zip | 31107
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Country | US
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Telephone | 678-281-1626
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Fax |
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Authorized Official
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Title or Position | CEO/EXECUTIVE DIRECTOR
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Name | MRS. TAVARI T BROWN
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Credential | LAPC, MPH, NCC,
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Telephone | 678-281-1626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | GA
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Taxonomy #2
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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 | GA
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Taxonomy #3
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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 | GA
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