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General NPI Number Information
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NPI Number | 1225566151
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Entity Type | Organization
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Legal Business Name | REDMAN COUNSELING, LLC
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 75 ELLIOTT RD STE 110B
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City | DAWSONVILLE
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State | GA
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Zip | 30534-8903
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Country | US
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Telephone | 678-447-5063
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 795
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City | CLEVELAND
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State | GA
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Zip | 30528-0014
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Country | US
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Telephone | 678-447-5063
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Fax |
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Authorized Official
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Title or Position | CEO/PSYCHOTHERAPIST
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Name | KARLA REDMAN
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Credential | LCSW
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Telephone | 678-447-5063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2682
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License Number State | GA
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