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General NPI Number Information
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NPI Number | 1376263608
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Entity Type | Organization
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Legal Business Name | EMBRACING CHANGE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 205 CORPORATE CENTER DR STE E
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7383
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Country | US
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Telephone | 678-964-5795
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Fax | 678-759-8404
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Provider Business Mailing Address
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Address Line | 113 ANCIENT OAK LN
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6530
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Country | US
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Telephone | 561-329-3075
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. CALITA J MADRY
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Credential | LPC, CMFT, NCC
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Telephone | 678-964-5795
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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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