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General NPI Number Information
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NPI Number | 1114609658
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Entity Type | Organization
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Legal Business Name | WITH YOU COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 8869 CENTRE ST STE B2
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City | SOUTHAVEN
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State | MS
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Zip | 38671-1725
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Country | US
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Telephone | 662-298-9734
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Fax |
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Provider Business Mailing Address
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Address Line | 384 GOODMAN RD E # 266
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City | SOUTHAVEN
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State | MS
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Zip | 38671-9522
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Country | US
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Telephone | 662-298-9734
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Fax |
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | TIFFANY FRANCE
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Credential | MA, LPC
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Telephone | 662-298-9734
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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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