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General NPI Number Information
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NPI Number | 1396531398
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Entity Type | Organization
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Legal Business Name | HALCYON COUNSELING AND PSYCHOTHERAPY
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 6000 LAKE FORREST DR STE 520
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City | ATLANTA
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State | GA
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Zip | 30328-3879
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Country | US
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Telephone | 470-223-5139
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Fax |
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Provider Business Mailing Address
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Address Line | 817 KAY ST NE
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City | LENOIR
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State | NC
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Zip | 28645-3851
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Country | US
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Telephone | 470-223-5139
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. NUR BANU IBAOGLU VAUGHN
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Credential | PHD
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Telephone | 470-223-5139
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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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