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General NPI Number Information
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NPI Number | 1477159010
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Entity Type | Organization
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Legal Business Name | CONNECTED CONVERSATIONS, LLC
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 5266 OLD HIGHWAY 11 STE 50-1061
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City | HATTIESBURG
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State | MS
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Zip | 39402-7817
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Country | US
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Telephone | 601-455-3142
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Fax |
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Provider Business Mailing Address
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Address Line | 6941 HIGHWAY 42
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City | PRENTISS
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State | MS
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Zip | 39474-4123
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Country | US
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Telephone | 601-455-3142
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. ANASTASIA RHODES-PEYTON
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Credential | LPC
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Telephone | 601-455-3142
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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 |
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License Number State |
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