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General NPI Number Information
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NPI Number | 1346971694
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Entity Type | Organization
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Legal Business Name | REDEMPTION COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 2311 HOBSON PIKE
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City | ANTIOCH
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State | TN
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Zip | 37013-1110
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Country | US
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Telephone | 615-649-1061
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Fax |
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Provider Business Mailing Address
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Address Line | 2416 RAVINE DR
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City | NASHVILLE
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State | TN
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Zip | 37217-3611
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Country | US
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Telephone | 615-649-1064
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/MANAGER
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Name | MRS. ANNA SNYDER
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Credential | LCSW
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Telephone | 615-649-1061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 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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