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General NPI Number Information
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NPI Number | 1437012879
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Entity Type | Organization
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Legal Business Name | BEAUTY FOR ASHES COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 9356 GOODMAN RD UNIT 3
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-1700
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Country | US
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Telephone | 662-469-6270
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Fax | 855-975-2540
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Provider Business Mailing Address
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Address Line | 9356 GOODMAN RD UNIT 3
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-1700
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Country | US
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Telephone | 662-469-6270
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Fax | 855-975-2540
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KARISSA COLEMAN
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Credential | LPC
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Telephone | 901-734-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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