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General NPI Number Information
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NPI Number | 1427470889
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Entity Type | Individual
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Provider Name | MICHELLE STEPHENS LPC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2014
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 270 RELAIS TRCE
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City | ALPHARETTA
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State | GA
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Zip | 30004-1613
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Country | US
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Telephone | 404-719-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 270 RELAIS TRCE
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City | ALPHARETTA
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State | GA
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Zip | 30004-1613
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Country | US
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Telephone | 404-719-7770
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 3359-R
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License Number State | GA
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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 | 8534
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 7081
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6229
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License Number State | CO
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