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NPI 1477193738

NPI 1477193738 : AMES CENTER FOR COUNSELING LLC : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1477193738
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMES CENTER FOR COUNSELING LLC 
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Dates
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    Enumeration Date     |    01/14/2020
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    Last Update Date     |    01/14/2020
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Provider Practice Location Address
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    Address Line         |    1900 CHURCH STREET #300 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37203
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1124 LITTON AVE #102 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37216
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    Country              |    US
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    Telephone            |    561-504-2290
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LAURA  AMES 
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    Credential           |    LCSW, CAP
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    Telephone            |    561-504-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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