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General NPI Number Information
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NPI Number | 1336053693
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Entity Type | Individual
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Provider Name | NASHIA NICOLE MAYFIELD LPC
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 1865 BOLD SPRINGS RD
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City | MONROE
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State | GA
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Zip | 30656-4605
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Country | US
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Telephone | 770-267-8677
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Fax |
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Provider Business Mailing Address
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Address Line | 5778 WEMBLEY DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-1875
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Country | US
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Telephone | 706-818-4666
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC017509
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License Number State | GA
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