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NPI 1326854191

NPI 1326854191 : T2S C.A.R.E.S., INC. : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1326854191
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    Entity Type          |    Organization 
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    Legal Business Name  |    T2S C.A.R.E.S., INC. 
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Dates
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    Enumeration Date     |    12/06/2024
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    Last Update Date     |    12/06/2024
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Provider Practice Location Address
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    Address Line         |    2001 MARTIN LUTHER KING JR DR SW STE 530 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30310-5807
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    Country              |    US
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    Telephone            |    585-438-3791
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    Fax                  |    770-341-4827
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Provider Business Mailing Address
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    Address Line         |    PO BOX 43971 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30336-0971
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    Country              |    US
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    Telephone            |    585-438-3791
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    Fax                  |    770-341-4827
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Authorized Official
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    Title or Position    |    BOARD MEMBER
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    Name                 |    MR. JOSEPH  CLANTON 
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    Credential           |    
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    Telephone            |    404-914-4782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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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        |    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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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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