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General NPI Number Information
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NPI Number | 1306002019
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Entity Type | Individual
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Provider Name | AMY LANIER DATLA LCMHCS, LMHC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 3 MOUNT OLIVE TER
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City | ASHEVILLE
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State | NC
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Zip | 28804-2987
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Country | US
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Telephone | 813-808-1956
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Fax | 888-977-1272
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Provider Business Mailing Address
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Address Line | 3 MOUNT OLIVE TER
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City | ASHEVILLE
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State | NC
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Zip | 28804-2987
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Country | US
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Telephone | 813-808-1956
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Fax | 888-977-1272
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2809
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License Number State | FL
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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 | MH8831
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License Number State | FL
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