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General NPI Number Information
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NPI Number | 1447622881
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Entity Type | Organization
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Legal Business Name | GREGORY COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 7318 PARKWAY DR
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City | LEEDS
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State | AL
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Zip | 35094-4814
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Country | US
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Telephone | 205-396-8972
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Fax |
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Provider Business Mailing Address
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Address Line | 6237 STEWART RD
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City | LEEDS
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State | AL
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Zip | 35094-3889
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Country | US
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Telephone | 205-396-8972
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH C GREGORY
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Credential | PHD
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Telephone | 205-396-8972
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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 | 1838
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License Number State | AL
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