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General NPI Number Information
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NPI Number | 1144499815
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Entity Type | Organization
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Legal Business Name | A CENTER FOR COUNSLEING, PLLC
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 1616 WESTGATE CIR 107
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City | BRENTWOOD
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State | TN
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Zip | 37027-8019
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Country | US
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Telephone | 615-467-6333
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Fax | 615-844-6201
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Provider Business Mailing Address
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Address Line | 1616 WESTGATE CIR 107
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City | BRENTWOOD
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State | TN
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Zip | 37027-8019
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Country | US
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Telephone | 615-467-6333
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Fax | 615-844-6201
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | VALLI VAN ERON
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Credential | M.S.
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Telephone | 615-467-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0000613
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License Number State | TN
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