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General NPI Number Information
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NPI Number | 1417463571
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Entity Type | Organization
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Legal Business Name | SHIRLEY THERAPEUTIC AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 611 RUSSELL PKWY STE A
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City | WARNER ROBINS
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State | GA
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Zip | 31088-7691
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Country | US
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Telephone | 478-922-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 611 RUSSELL PKWY STE A
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City | WARNER ROBINS
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State | GA
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Zip | 31088-7691
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Country | US
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Telephone | 478-922-2700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RONDA DIONNE SHIRLEY
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Credential | LMFT
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Telephone | 478-922-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001503
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License Number State | GA
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