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General NPI Number Information
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NPI Number | 1295440212
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Entity Type | Organization
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Legal Business Name | ASPIRATIONAL ALLIES COUNSELING SERVICES
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 8877 SENECA RD
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City | PALMETTO
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State | GA
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Zip | 30268-9533
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Country | US
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Telephone | 908-327-0762
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Fax | 470-296-6074
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Provider Business Mailing Address
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Address Line | 42 CARRIAGE OAKS DR # 1080
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City | TYRONE
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State | GA
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Zip | 30290-1684
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Country | US
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Telephone | 470-354-0645
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Fax | 470-296-6074
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Authorized Official
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Title or Position | OWNER
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Name | DENESHA DUNCAN
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Credential | CSW, PMSW, PMHP
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Telephone | 908-327-0762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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