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General NPI Number Information
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NPI Number | 1033907233
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Entity Type | Organization
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Legal Business Name | AUTHENTICALLY YOU COUNSELING LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1550 N MOUNT JULIET RD STE 118
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3786
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Country | US
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Telephone | 615-200-8477
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Fax |
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Provider Business Mailing Address
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Address Line | 597 SMOKY MOUNTAINS DR
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City | GALLATIN
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State | TN
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Zip | 37066-4281
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Country | US
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Telephone | 651-904-5581
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | RACHEAL M PHILLIPS
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Credential | LPC
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Telephone | 615-904-5581
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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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