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General NPI Number Information
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NPI Number | 1437516770
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Entity Type | Organization
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Legal Business Name | LIVE LIFE COUNSELING, LLC
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Dates
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Enumeration Date | 01/18/2016
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1435 HAW CREEK CIR STE 4245
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City | CUMMING
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State | GA
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Zip | 30041-6566
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Country | US
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Telephone | 404-432-2113
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Fax | 770-995-1959
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Provider Business Mailing Address
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Address Line | 1435 HAW CREEK CIR STE 403
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City | CUMMING
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State | GA
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Zip | 30041-6567
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Country | US
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Telephone | 770-940-9679
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | MAUREEN BIXLER
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Credential |
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Telephone | 404-432-2113
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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 | CSW004394
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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