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General NPI Number Information
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NPI Number | 1427717867
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Entity Type | Organization
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Legal Business Name | VISIONS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 4426 HUGH HOWELL RD STE B207
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City | TUCKER
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State | GA
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Zip | 30084-4918
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Country | US
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Telephone | 678-793-9151
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Fax |
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Provider Business Mailing Address
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Address Line | 4426 HUGH HOWELL RD STE B-207
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City | TUCKER
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State | GA
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Zip | 30084-4918
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Country | US
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Telephone | 678-793-9151
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CHRISTINA BEA POLLARD
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Credential | LPC
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Telephone | 678-793-9151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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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 |
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License Number State |
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