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General NPI Number Information
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NPI Number | 1396893020
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Entity Type | Organization
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Legal Business Name | ALPHA HOPE COUNSELING, INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 137 PROMINENCE CT STE 220
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City | DAWSONVILLE
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State | GA
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Zip | 30534-8939
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Country | US
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Telephone | 706-216-4735
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Fax | 706-216-7909
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Provider Business Mailing Address
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Address Line | 137 PROMINENCE CT STE 220
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City | DAWSONVILLE
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State | GA
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Zip | 30534-8939
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Country | US
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Telephone | 706-216-4735
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Fax | 706-216-7909
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES L BRITT JR.
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Credential | MS,LPC,NCC,CPCS
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Telephone | 706-216-4735
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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 | LPC004310
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC002826
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License Number State | GA
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