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NPI 1194537043

NPI 1194537043 : DR. SATHYA CALLENDER-WILSON : ALPHARETTA, GA

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General NPI Number Information
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    NPI Number           |    1194537043
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    Entity Type          |    Individual 
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    Provider Name        |    DR. SATHYA CALLENDER-WILSON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/27/2025
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    Last Update Date     |    01/27/2025
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Provider Practice Location Address
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    Address Line         |    4575 WEBB BRIDGE RD STE 3133 
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    City                 |    ALPHARETTA
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    State                |    GA
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    Zip                  |    30005-4256
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    Country              |    US
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    Telephone            |    470-887-0322
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3133 
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    City                 |    ALPHARETTA
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    State                |    GA
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    Zip                  |    30023-3133
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    Country              |    US
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    Telephone            |    470-887-0322
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    106E00000X
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    Taxonomy Name        |    Assistant Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    103TR0400X
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    Taxonomy Name        |    Rehabilitation Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    225C00000X
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    Taxonomy Name        |    Rehabilitation Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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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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