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General NPI Number Information
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NPI Number | 1376118737
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Entity Type | Organization
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Legal Business Name | DUNN SERENITY COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 2645 DALLAS HWY SW STE 260
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City | MARIETTA
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State | GA
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Zip | 30064-7577
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Country | US
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Telephone | 404-834-2439
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Fax |
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Provider Business Mailing Address
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Address Line | 2645 DALLAS HWY SW STE 260
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City | MARIETTA
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State | GA
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Zip | 30064-7577
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Country | US
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Telephone | 404-834-2439
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYANNE DUNN
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Credential | LPC
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Telephone | 347-225-3649
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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 |
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License Number State |
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