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General NPI Number Information
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NPI Number | 1164341814
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Entity Type | Organization
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Legal Business Name | COSMIC COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 2510 PEA RIDGE RD STE 135
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City | CLARKSVILLE
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State | TN
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Zip | 37040-1009
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Country | US
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Telephone | 615-671-2186
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Fax |
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Provider Business Mailing Address
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Address Line | 3051 VANLEER HWY
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City | CHARLOTTE
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State | TN
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Zip | 37036-6209
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Country | US
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Telephone | 615-636-5877
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | GABRIELLE SCHMITTOU
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Credential | LPC-MHSP
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Telephone | 615-636-5877
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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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