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General NPI Number Information
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NPI Number | 1215687116
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Entity Type | Organization
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Legal Business Name | WHOLE IN HEART COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 1700 NORTHSIDE DR NW STE A7
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City | ATLANTA
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State | GA
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Zip | 30318-2695
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Country | US
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Telephone | 229-291-3995
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 FLOWERS RD S APT H
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City | ATLANTA
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State | GA
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Zip | 30341-5653
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Country | US
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Telephone | 229-291-3995
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. KARIS LEANNE MCCLAMMY
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Credential | PSYD
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Telephone | 470-322-4971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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