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General NPI Number Information
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NPI Number | 1427316520
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Entity Type | Individual
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Provider Name | CAMIE L. VINCENT LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 225 CREEKSTONE RDG STE 28
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City | WOODSTOCK
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State | GA
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Zip | 30188-3744
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Country | US
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Telephone | 470-685-0003
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Fax | 470-275-0000
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Provider Business Mailing Address
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Address Line | 225 CREEKSTONE RDG STE 28
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City | WOODSTOCK
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State | GA
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Zip | 30188-3744
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Country | US
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Telephone | 470-685-0003
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Fax | 470-275-0000
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11016
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC009337
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License Number State | GA
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