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General NPI Number Information
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NPI Number | 1245039643
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Entity Type | Organization
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Legal Business Name | R AND M BEHAVIORAL HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 103 SPRINGFIELD CENTER DR STE 205
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City | WOODSTOCK
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State | GA
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Zip | 30188-5525
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Country | US
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Telephone | 678-644-0997
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Fax |
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Provider Business Mailing Address
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Address Line | 135 GOLD MILL PL
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City | CANTON
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State | GA
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Zip | 30114-4025
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Country | US
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Telephone | 678-644-0997
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | KELLYE MARIE MILLS
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Credential | LPC, NCC
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Telephone | 678-644-0997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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