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General NPI Number Information
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NPI Number | 1437502093
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Entity Type | Organization
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Legal Business Name | GG COUNSELING SERVICES, INC
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 71 RUNNING CREEK CT
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City | TAYLORSVILLE
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State | KY
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Zip | 40071-7246
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Country | US
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Telephone | 502-744-7918
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Fax |
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Provider Business Mailing Address
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Address Line | 71 RUNNING CREEK CT
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City | TAYLORSVILLE
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State | KY
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Zip | 40071-7246
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Country | US
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Telephone | 502-744-7918
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GINA GRISSOM
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Credential |
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Telephone | 502-744-7918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 166502
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License Number State | KY
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