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General NPI Number Information
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NPI Number | 1124785613
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Entity Type | Organization
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Legal Business Name | TOTAL LIFE COUNSELING & WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 123 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5092
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Country | US
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Telephone | 404-449-8621
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Fax | 404-446-0971
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Provider Business Mailing Address
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Address Line | 950 EAGLES LANDING PKWY # 720
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7343
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Country | US
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Telephone | 404-449-8621
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. KARYN L. KING
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Credential | LPC, CPCS
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Telephone | 404-449-8621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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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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