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General NPI Number Information
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NPI Number | 1134922966
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Entity Type | Individual
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Provider Name | STEPHANIE LANE GALBREATH LPC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1109 E PARK DR STE 201
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City | BIRMINGHAM
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State | AL
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Zip | 35235-2579
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Country | US
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Telephone | 205-207-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 110 CEDAR BRANCH CIR
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City | ODENVILLE
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State | AL
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Zip | 35120-2017
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Country | US
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Telephone | 205-999-3029
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | C3728A
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License Number State | AL
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