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General NPI Number Information
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NPI Number | 1366174294
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Entity Type | Individual
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Provider Name | MEGAN D ROSS
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Gender | Female
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 715 PEACHTREE ST NE STE 100&200
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City | ATLANTA
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State | GA
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Zip | 30308-2177
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Country | US
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Telephone | 646-941-7645
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Fax | 929-596-7897
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Provider Business Mailing Address
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Address Line | 715 PEACHTREE ST NE STE 100&200
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City | ATLANTA
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State | GA
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Zip | 30308-2177
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Country | US
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Telephone | 646-941-7645
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Fax | 929-596-7897
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC016116
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License Number State | GA
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