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General NPI Number Information
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NPI Number | 1467300541
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Entity Type | Organization
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Legal Business Name | MILES ABOVE MISSION AWARENESS
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 2274 SALEM RD SE STE 106-5036
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City | CONYERS
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State | GA
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Zip | 30013-2097
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Country | US
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Telephone | 404-839-6864
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Fax |
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Provider Business Mailing Address
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Address Line | 2274 SALEM RD SE STE 106-5036
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City | CONYERS
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State | GA
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Zip | 30013-2097
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Country | US
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Telephone | 404-839-6864
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ALEXANDRIA ANNIE WASHINGTON
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Credential |
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Telephone | 404-839-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | 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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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