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General NPI Number Information
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NPI Number | 1295256857
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Entity Type | Organization
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Legal Business Name | BRITTANY CARTER LCSW LLC
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Dates
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Enumeration Date | 07/03/2017
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Last Update Date | 07/03/2017
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Provider Practice Location Address
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Address Line | 5000 AUSTELL POWDER SPRINGS RD STE 283-1
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City | AUSTELL
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State | GA
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Zip | 30106-2442
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Country | US
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Telephone | 770-712-3319
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 AUSTELL POWDER SPRINGS RD STE 283-1
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City | AUSTELL
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State | GA
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Zip | 30106-2442
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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 | MENTAL HEALTH THERAPIST/OWNER
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Name | BRITTANY CARTER
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Credential | LCSW
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Telephone | 770-712-3319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | CSW005739
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | CSW005739
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License Number State | GA
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Taxonomy #3
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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 | CSW005739
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License Number State | GA
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