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General NPI Number Information
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NPI Number | 1417821836
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Entity Type | Organization
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Legal Business Name | ARISE WELLNESS AND CONSULTING
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL SUITE R
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City | ATLANTA
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State | GA
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Zip | 30350
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Country | US
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Telephone | 706-620-7712
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Fax |
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Provider Business Mailing Address
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Address Line | 246 ROBERT C DANIEL JR PKWY # 1532
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City | AUGUSTA
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State | GA
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Zip | 30909-0803
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Country | US
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Telephone | 706-620-7712
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE D ETIENNE
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Credential | LCSW
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Telephone | 706-294-0518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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