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General NPI Number Information
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NPI Number | 1154230928
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Entity Type | Organization
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Legal Business Name | LAUREN REBA-HARRELSON, PH.D., LLC
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Dates
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Enumeration Date | 09/05/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 507 HARPER RD
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City | MCDONOUGH
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State | GA
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Zip | 30252-4958
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Country | US
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Telephone | 706-913-6115
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Fax |
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Provider Business Mailing Address
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Address Line | 507 HARPER RD
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City | MCDONOUGH
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State | GA
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Zip | 30252-4958
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Country | US
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Telephone | 706-913-6115
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LAUREN EVELYN REBA-HARRELSON
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Credential | PH.D.
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Telephone | 919-923-2119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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