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General NPI Number Information
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NPI Number | 1174139174
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Entity Type | Individual
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Provider Name | MELANIE CHRISTINE SYAS LCSW, LISW-CP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 186 SUMMER LAKE DR SW
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City | MARIETTA
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State | GA
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Zip | 30060-4897
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Country | US
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Telephone | 678-310-6177
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Fax |
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Provider Business Mailing Address
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Address Line | 186 SUMMER LAKE DR SW
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City | MARIETTA
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State | GA
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Zip | 30060-4897
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Country | US
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Telephone | 678-310-6177
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CSW009213
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16812
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW009213
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License Number State | GA
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