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General NPI Number Information
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NPI Number | 1093187049
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Entity Type | Organization
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Legal Business Name | COUNSELING SERVICES UNITED, LLC
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 132 STANLEY CT SUITE F
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-9061
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Country | US
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Telephone | 470-798-0244
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Fax | 678-828-8164
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Provider Business Mailing Address
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Address Line | 5550 ROSE RIDGE CT
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City | FLOWERY BRANCH
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State | GA
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Zip | 30542-5078
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Country | US
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Telephone | 678-481-7547
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Fax | 678-828-8164
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Authorized Official
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Title or Position | CEO
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Name | DONNA CLEVELAND ROWDEN
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Credential | LPC
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Telephone | 470-798-0244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC007296
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License Number State | GA
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