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General NPI Number Information
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NPI Number | 1356390587
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Entity Type | Individual
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Provider Name | CARLA Y. GARVIN LPC
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Gender | Female
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 4150 SNAPFINGER WOODS DR STE 208
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City | DECATUR
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State | GA
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Zip | 30035-3417
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Country | US
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Telephone | 470-225-6050
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Fax | 470-819-4816
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Provider Business Mailing Address
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Address Line | 4150 SNAPFINGER WOODS DR STE 208
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City | DECATUR
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State | GA
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Zip | 30035-3417
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Country | US
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Telephone | 470-225-6050
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Fax | 470-419-4816
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4696
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License Number State | SC
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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 | LPC004621
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License Number State | GA
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