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General NPI Number Information
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NPI Number | 1083548218
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Entity Type | Organization
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Legal Business Name | CCM COUNSELING LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 601 AVENUE A
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City | OPELIKA
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State | AL
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Zip | 36801-5061
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Country | US
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Telephone | 334-728-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 226 LEE DR
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City | AUBURN
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State | AL
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Zip | 36832-6722
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Country | US
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Telephone | 334-728-9555
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Fax |
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Authorized Official
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Title or Position | LICSW
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Name | CAROLYN COLEY MILLER
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Credential | LICSW
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Telephone | 334-728-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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