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General NPI Number Information
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NPI Number | 1144848045
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Entity Type | Organization
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Legal Business Name | HYATT COUNSELLING, LLC
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 07/12/2020
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Provider Practice Location Address
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Address Line | 114 CONGRESS ST S
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City | YORK
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State | SC
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Zip | 29745-1837
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Country | US
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Telephone | 803-307-4647
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Fax |
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Provider Business Mailing Address
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Address Line | 1539 TIANA WAY
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City | ROCK HILL
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State | SC
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Zip | 29732-7605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELLE HYATT
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Credential |
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Telephone | 803-370-8852
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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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