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General NPI Number Information
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NPI Number | 1215748298
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Entity Type | Organization
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Legal Business Name | Y COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 2675 PACES FERRY RD SE STE 140
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City | ATLANTA
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State | GA
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Zip | 30339-4089
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Country | US
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Telephone | 678-591-4387
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Fax |
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Provider Business Mailing Address
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Address Line | 2451 CUMBERLAND PKWY SE STE 260
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City | ATLANTA
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State | GA
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Zip | 30339-6136
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Country | US
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Telephone | 678-591-4387
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/OWNER
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Name | LIZBETH DIAZ YABUKU
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Credential | LPC
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Telephone | 678-591-4387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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