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General NPI Number Information
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NPI Number | 1083306633
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Entity Type | Organization
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Legal Business Name | ARC COUNSELING, LLC
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 3485 MCEVER RD STE 101
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City | GAINESVILLE
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State | GA
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Zip | 30504-5542
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Country | US
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Telephone | 770-758-4940
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Fax | 470-778-3705
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Provider Business Mailing Address
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Address Line | 3485 MCEVER RD STE 101
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City | GAINESVILLE
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State | GA
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Zip | 30504-5542
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Country | US
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Telephone | 770-758-4940
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Fax | 470-778-3705
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Authorized Official
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Title or Position | OWNER
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Name | BROOKE ATKINSON
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Credential | LPC
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Telephone | 770-758-4940
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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