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General NPI Number Information
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NPI Number | 1376214056
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Entity Type | Organization
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Legal Business Name | MEGHAN BURNS COUNSELING LLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 1000 HIGHLAND COLONY PKWY STE 5203
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City | RIDGELAND
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State | MS
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Zip | 39157-2079
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Country | US
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Telephone | 769-206-1801
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Fax |
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Provider Business Mailing Address
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Address Line | 207 SANDPIPER RD
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City | BRANDON
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State | MS
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Zip | 39047-6464
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Country | US
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Telephone | 228-493-3683
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGHAN BURNS
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Credential | LPC
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Telephone | 228-493-3683
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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 |
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License Number State |
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