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General NPI Number Information
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NPI Number | 1235685082
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Entity Type | Organization
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Legal Business Name | EIRAM COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 6605 ABERCORN STREET SUITE 108
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City | SAVANNAH
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State | GA
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Zip | 31406
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Country | US
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Telephone | 912-275-4967
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Fax | 912-228-3440
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Provider Business Mailing Address
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Address Line | 5710 OGEECHEE RD STE 200 RM 271
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City | SAVANNAH
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State | GA
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Zip | 31405-9559
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Country | US
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Telephone | 912-275-4967
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Fax | 912-228-3440
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Authorized Official
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Title or Position | CEO/OWNER
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Name | TIHESHA M LEMON-DEACON
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Credential | LPC
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Telephone | 912-484-7599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 465919
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 508334
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC004748
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License Number State | GA
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