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General NPI Number Information
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NPI Number | 1134586712
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Entity Type | Organization
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Legal Business Name | NEW HOPE COUNSELING, LLC
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 913 PLANTATION BLVD
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City | FAIRHOPE
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State | AL
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Zip | 36532-2949
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Country | US
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Telephone | 858-829-5106
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Fax | 251-929-0917
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Provider Business Mailing Address
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Address Line | 19380 QUAIL CREEK DR
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City | FAIRHOPE
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State | AL
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Zip | 36532-7204
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Country | US
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Telephone | 858-829-5106
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Fax | 251-929-0917
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | ANITA GIANNARIS
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Credential | LCSW, PIP
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Telephone | 858-829-5106
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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 | 1215-3811C
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License Number State | AL
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