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General NPI Number Information
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NPI Number | 1477008761
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Entity Type | Organization
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Legal Business Name | BRIGHT FUTURES CHILD AND FAMILY THERAPY, PC
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 11815 NORTHFALL LN SUITE #1006
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City | ALPHARETTA
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State | GA
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Zip | 30009-7973
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Country | US
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Telephone | 404-547-6167
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Fax |
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Provider Business Mailing Address
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Address Line | 11815 NORTHFALL LN SUITE #1006
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City | ALPHARETTA
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State | GA
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Zip | 30009-7973
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Country | US
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Telephone | 404-547-6167
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER/CEO
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Name | KEREN DRITS
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Credential | LPC
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Telephone | 404-547-6167
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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 | LPC005830
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License Number State | GA
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