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General NPI Number Information
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NPI Number | 1235692625
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Entity Type | Organization
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Legal Business Name | DOVE COUNSELING CENTER
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 366 POWDER SPRINGS ST STE 218
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City | MARIETTA
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State | GA
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Zip | 30064-3424
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Country | US
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Telephone | 678-374-9727
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Fax |
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Provider Business Mailing Address
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Address Line | 366 POWDER SPRINGS ST STE 218
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City | MARIETTA
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State | GA
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Zip | 30064-3424
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SONYA COY
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Credential | LPC. BC-TMH
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Telephone | 678-374-9727
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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 |
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License Number State |
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