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General NPI Number Information
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NPI Number | 1225231814
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Entity Type | Organization
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Legal Business Name | PRIVACY FIRST COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3114 AUGUSTA TECH DR SUITE 203
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City | AUGUSTA
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State | GA
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Zip | 30906-3300
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Country | US
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Telephone | 706-790-6434
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Fax | 706-790-7948
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Provider Business Mailing Address
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Address Line | 3714 WOODLAKE RD
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City | HEPHZIBAH
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State | GA
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Zip | 30815-6560
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Country | US
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Telephone | 706-790-7948
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Fax | 706-790-7948
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. JOHN ALBERTY
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Credential |
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Telephone | 706-790-6434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC003892
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License Number State | GA
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