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General NPI Number Information
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NPI Number | 1366255630
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Entity Type | Individual
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Provider Name | MICHELLE HIGHFIELD
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 3651 MARS HILL RD STE 3300
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City | WATKINSVILLE
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State | GA
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Zip | 30677-5990
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Country | US
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Telephone | 706-225-9121
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Fax |
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Provider Business Mailing Address
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Address Line | 1518 HIGHLAND CREEK DR
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City | MONROE
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State | GA
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Zip | 30656-2505
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Country | US
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Telephone |
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Fax |
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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 | LPC012232
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License Number State | GA
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