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General NPI Number Information
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NPI Number | 1396369468
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Entity Type | Organization
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Legal Business Name | EMERGING HOPE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 1470 NORTHBANK PARKWAY
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City | TUSCALOOSA
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State | AL
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Zip | 35406
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Country | US
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Telephone | 205-614-3339
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Fax |
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Provider Business Mailing Address
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Address Line | 12592 WINDWORD POINTE DR
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City | NORTHPORT
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State | AL
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Zip | 35475-4565
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Country | US
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Telephone | 205-454-5460
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN TINGLE MILLS
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Credential | ED.S., LPC-S
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Telephone | 205-614-3339
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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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