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General NPI Number Information
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NPI Number | 1164366035
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Entity Type | Organization
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Legal Business Name | SPEAKING LIFE 2 YOU RESOURCE CENTER, LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 8471 NEWMAN ST
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2420
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Country | US
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Telephone | 678-386-1338
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1477
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City | MARIETTA
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State | GA
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Zip | 30061-1477
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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 | PARTNER/PROVIDER
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Name | JOHNNIE GORDON
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Credential | LPC
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Telephone | 678-386-1338
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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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