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General NPI Number Information
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NPI Number | 1184552655
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Entity Type | Organization
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Legal Business Name | NEW LEAF COUNSELING & DEVELOPMENT
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 4137 CARMICHAEL RD STE 200-16
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City | MONTGOMERY
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State | AL
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Zip | 36106-3614
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Country | US
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Telephone | 334-233-3396
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Fax |
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Provider Business Mailing Address
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Address Line | 160 STONE PARK BLVD APT 607
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City | PIKE ROAD
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State | AL
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Zip | 36064-2986
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Country | US
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Telephone | 334-233-3396
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | ELIJAH DANIEL
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Credential | LPC
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Telephone | 334-233-3396
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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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