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General NPI Number Information
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NPI Number | 1336737154
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Entity Type | Organization
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Legal Business Name | KRISTIN HORNSBY LPC LMFT LLC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 2070 BUFORD HWY STE 1B
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City | BUFORD
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State | GA
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Zip | 30518-6097
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Country | US
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Telephone | 404-431-8986
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Fax |
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Provider Business Mailing Address
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Address Line | 6912 FLAGSTONE WAY
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City | FLOWERY BRANCH
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State | GA
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Zip | 30542-5232
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Country | US
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Telephone | 404-431-8986
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIN A HORNSBY
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Credential | LPC LMFT
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Telephone | 404-431-8986
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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 |
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License Number State |
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Taxonomy #2
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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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