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General NPI Number Information
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NPI Number | 1437677218
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Entity Type | Organization
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Legal Business Name | LTA COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 05/03/2020
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Provider Practice Location Address
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Address Line | 1774 CENTURY BLVD NE STE B
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City | ATLANTA
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State | GA
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Zip | 30345-3312
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Country | US
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Telephone | 678-744-3003
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Fax | 404-420-2104
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Provider Business Mailing Address
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Address Line | 1774 CENTURY BLVD NE STE B
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City | ATLANTA
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State | GA
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Zip | 30345-3312
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Country | US
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Telephone | 678-744-3003
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Fax | 404-420-2104
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MS. LAUREN T ALEXANDER
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Credential | LPC, MAC
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Telephone | 678-744-3003
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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 |
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License Number State |
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