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General NPI Number Information
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NPI Number | 1225766439
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Entity Type | Organization
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Legal Business Name | ADVANCE COUNSELING & E-SERVICES, LLC
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 5856 RIDGEWAY CENTER PARKWAY SUITE 300
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City | MEMPHIS
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State | TN
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Zip | 38120
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Country | US
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Telephone | 901-883-3806
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Fax | 901-883-3807
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Provider Business Mailing Address
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Address Line | 5856 RIDGEWAY CENTER PARKWAY SUITE 300
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City | MEMPHIS
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State | TN
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Zip | 38120
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Country | US
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Telephone | 901-883-3806
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | ELIZABETH R DRAIN
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Credential | LPC-MHSP
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Telephone | 901-883-3806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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