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General NPI Number Information
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NPI Number | 1336912278
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Entity Type | Organization
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Legal Business Name | AT YOUR PACE COUNSELING LLC
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 3025 B SHARPSBURG MCCOLLUM RD., SUITE 102
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City | NEWNAN
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State | GA
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Zip | 30265-6149
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Country | US
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Telephone | 678-203-5349
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Fax |
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Provider Business Mailing Address
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Address Line | 230 LAKE FOREST DR
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City | NEWNAN
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State | GA
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Zip | 30265-3404
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Country | US
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Telephone | 770-683-5346
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARCI LEINONEN
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Credential | LPC
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Telephone | 678-203-5349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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