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General NPI Number Information
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NPI Number | 1467800854
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Entity Type | Organization
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Legal Business Name | AVAIL SERVICES, LLC
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 2127 14TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3900
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Country | US
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Telephone | 205-575-8216
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Fax | 205-881-3072
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Provider Business Mailing Address
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Address Line | 2127 14TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3900
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Country | US
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Telephone | 205-575-8216
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Fax | 205-881-3072
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. SAMANTHA L WILLIS
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Credential | M.ED., ALC, NCC
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Telephone | 205-575-8216
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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 | C2613A
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License Number State | AL
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