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General NPI Number Information
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NPI Number | 1245836139
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Entity Type | Organization
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Legal Business Name | RESTORING WELLNESS COUNSELING LLC
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 1226 ROYAL DR SW STE E
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City | CONYERS
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State | GA
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Zip | 30094-5926
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Country | US
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Telephone | 678-310-9089
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Fax | 470-228-1534
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Provider Business Mailing Address
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Address Line | 1226 ROYAL DR SW STE E
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City | CONYERS
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State | GA
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Zip | 30094-5926
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Country | US
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Telephone | 678-310-9089
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Fax | 470-228-1534
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. ROSE M WILLIAMS
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Credential | LCSW
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Telephone | 678-310-9089
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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 |
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License Number State |
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