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General NPI Number Information
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NPI Number | 1417846668
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Entity Type | Organization
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Legal Business Name | SEED & OAK COUNSELING LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 809 CHURCH ST
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City | DECATUR
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State | GA
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Zip | 30030-1870
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Country | US
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Telephone | 470-377-2840
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Fax |
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Provider Business Mailing Address
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Address Line | 1888 EMERY ST NW UNIT 355
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City | ATLANTA
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State | GA
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Zip | 30318-2799
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Country | US
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Telephone | 508-846-4808
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR/THERAPIST
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Name | MARCUS PRICE
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Credential | LCSW
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Telephone | 508-846-4808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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