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General NPI Number Information
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NPI Number | 1184276370
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Entity Type | Organization
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Legal Business Name | BEL ESPRIT PSYCHOTHERAPY & CONSULTATION, LLC
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 3340 PEACHTREE RD NE STE 1800
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City | ATLANTA
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State | GA
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Zip | 30326-1064
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Country | US
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Telephone | 678-231-0613
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Fax |
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Provider Business Mailing Address
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Address Line | 3340 PEACHTREE RD NE STE 1800
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City | ATLANTA
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State | GA
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Zip | 30326-1064
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Country | US
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Telephone | 678-231-0613
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER LLC
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Name | SHERRY SIMPSON
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Credential | LPC
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Telephone | 678-231-0613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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