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NPI 1114548260

NPI 1114548260 : PLANTING HOPE COUNSELING CENTER : SAINT MARYS, GA

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General NPI Number Information
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    NPI Number           |    1114548260
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLANTING HOPE COUNSELING CENTER 
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Dates
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    Enumeration Date     |    04/29/2020
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    Last Update Date     |    04/29/2020
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Provider Practice Location Address
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    Address Line         |    1602 SANDPIPER CT 
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    City                 |    SAINT MARYS
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    State                |    GA
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    Zip                  |    31558-4187
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    Country              |    US
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    Telephone            |    912-227-9957
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1602 SANDPIPER CT 
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    City                 |    SAINT MARYS
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    State                |    GA
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    Zip                  |    31558-4187
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    Country              |    US
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    Telephone            |    912-227-9957
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LPC
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    Name                 |     APRIL RYAN STONE 
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    Credential           |    OWNER
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    Telephone            |    912-227-9957
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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       |    
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    License Number State |    
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