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General NPI Number Information
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NPI Number | 1154125573
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Entity Type | Organization
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Legal Business Name | INFINITELY YOU COUNSELING, LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2655 DALLAS HWY SW STE 240
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City | MARIETTA
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State | GA
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Zip | 30064-2597
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Country | US
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Telephone | 470-422-9939
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Fax |
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Provider Business Mailing Address
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Address Line | 2070 KOLB RIDGE CT SW
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City | MARIETTA
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State | GA
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Zip | 30008-4478
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Country | US
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Telephone | 470-422-9939
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOTHERAPIST
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Name | TAITANNA MOORE
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Credential | LPC
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Telephone | 470-422-9939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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