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NPI 1215632328

NPI 1215632328 : APRIL T. KITCHENS, LPC, LLC : EVANS, GA

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General NPI Number Information
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    NPI Number           |    1215632328
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    Entity Type          |    Organization 
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    Legal Business Name  |    APRIL T. KITCHENS, LPC, LLC 
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Dates
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    Enumeration Date     |    03/31/2023
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    Last Update Date     |    03/31/2023
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Provider Practice Location Address
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    Address Line         |    601 N BELAIR SQ STE 2 
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    City                 |    EVANS
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    State                |    GA
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    Zip                  |    30809-4322
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    Country              |    US
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    Telephone            |    706-250-1203
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    Fax                  |    762-257-7408
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Provider Business Mailing Address
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    Address Line         |    933 BRANCH COURT PMB 297
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    City                 |    GROVETOWN
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    State                |    GA
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    Zip                  |    30813
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    Country              |    US
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    Telephone            |    706-250-1203
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    Fax                  |    762-257-7408
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Authorized Official
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    Title or Position    |    OWNER/PROVIDER
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    Name                 |     APRIL THIGPEN KITCHENS 
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    Credential           |    LPC
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    Telephone            |    706-250-1203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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