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General NPI Number Information
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NPI Number | 1215877469
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Entity Type | Organization
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Legal Business Name | ECHO BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 202 BUFORD HWY STE 101
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City | SUWANEE
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State | GA
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Zip | 30024
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Country | US
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Telephone | 612-296-6804
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 RIVER CANE WAY
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City | BUFORD
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State | GA
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Zip | 30519-8796
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Country | US
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Telephone | 612-296-6804
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ANDREA LAWRENCE
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Credential |
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Telephone | 612-296-6804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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