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General NPI Number Information
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NPI Number | 1043187792
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Entity Type | Organization
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Legal Business Name | TERRELL MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 580 5TH AVE STE 820
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City | NEW YORK
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State | NY
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Zip | 10036-4762
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Country | US
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Telephone | 917-734-5078
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Fax |
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Provider Business Mailing Address
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Address Line | 1647 GEARY DR NW
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City | ATLANTA
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State | GA
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Zip | 30309-2217
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | MELISSA TERRELL
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Credential |
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Telephone | 917-734-5078
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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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