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NPI 1356906929

NPI 1356906929 : LENOX POINTE PSYCHOTHERAPY, LLC : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1356906929
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    Entity Type          |    Organization 
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    Legal Business Name  |    LENOX POINTE PSYCHOTHERAPY, LLC 
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Dates
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    Enumeration Date     |    05/08/2019
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    Last Update Date     |    05/08/2019
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Provider Practice Location Address
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    Address Line         |    6 LENOX POINTE NE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30324-3167
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    Country              |    US
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    Telephone            |    404-869-0040
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6 LENOX POINTE NE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30324-3167
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    Country              |    US
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    Telephone            |    404-869-0040
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-DIRECTOR
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    Name                 |     ERIKA I PLUHAR 
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    Credential           |    PHD, LMFT, CST
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    Telephone            |    404-869-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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