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General NPI Number Information
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NPI Number | 1073106902
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Entity Type | Organization
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Legal Business Name | STEP BY STEP THERAPEUTIC AND PERINATAL MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 1720 MARS HILL RD NW STE 8-154
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City | ACWORTH
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State | GA
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Zip | 30101-7127
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Country | US
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Telephone | 470-377-2286
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 MARS HILL RD NW STE 8-154
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City | ACWORTH
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State | GA
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Zip | 30101-7127
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Country | US
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Telephone | 470-377-2286
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MONIQUE SIMS
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Credential | LPC
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Telephone | 470-377-2286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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