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General NPI Number Information
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NPI Number | 1114450137
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Entity Type | Organization
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Legal Business Name | THE LINDEMANN COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 1935 CLIFF VALLEY WAY NE STE 119
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City | ATLANTA
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State | GA
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Zip | 30329-2435
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Country | US
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Telephone | 470-485-3050
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Fax | 770-995-1959
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Provider Business Mailing Address
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Address Line | 1468 BRIARWOOD RD NE UNIT 903
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City | BROOKHAVEN
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State | GA
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Zip | 30319-5739
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Country | US
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Telephone | 470-485-3050
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Fax | 770-995-1959
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Authorized Official
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Title or Position | LCSW
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Name | ANDREA M LINDEMANN
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Credential | LCSW
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Telephone | 770-339-7667
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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 | CSW005570
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License Number State | GA
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