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General NPI Number Information
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NPI Number | 1366863441
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Entity Type | Organization
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Legal Business Name | MENTAL ARCHITECTS COUNSELING
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 710 TEMPLETON DR
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City | NASHVILLE
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State | TN
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Zip | 37205-1212
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Country | US
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Telephone | 615-330-5224
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Fax |
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Provider Business Mailing Address
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Address Line | 801 DOMINICAN DR
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City | NASHVILLE
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State | TN
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Zip | 37228-1905
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Country | US
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Telephone | 615-283-0880
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MR. ROBERT BUXTON JR.
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Credential | LPC-MHSP
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Telephone | 615-283-0880
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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 | 2717
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License Number State | TN
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