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General NPI Number Information
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NPI Number | 1407095243
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Entity Type | Organization
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Legal Business Name | RESPONSIBLE CHILD, LLC
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 12/27/2009
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Provider Practice Location Address
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Address Line | 2775 CRUSE RD SUITE 1601
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7140
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Country | US
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Telephone | 678-924-3201
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Fax | 678-924-3202
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Provider Business Mailing Address
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Address Line | 2775 CRUSE RD SUITE 1601
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7140
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Country | US
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Telephone | 678-924-3201
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Fax | 678-924-3202
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Authorized Official
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Title or Position | PRESIDENT, THERAPIST
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Name | DR. YUEHONG CHEN FOLEY
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Credential | PHD. LPC, NCC
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Telephone | 404-964-1638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPC004844
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License Number State | GA
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