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General NPI Number Information
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NPI Number | 1477862951
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Entity Type | Organization
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Legal Business Name | IT'S ABOUT CHANGE COUNSELING,LLC
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 2140 MCGEE RD STE A1400
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City | SNELLVILLE
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State | GA
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Zip | 30078-7029
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Country | US
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Telephone | 770-873-1804
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Fax | 404-796-7878
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Provider Business Mailing Address
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Address Line | 2140 MCGEE RD STE A-1400
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City | SNELLVILLE
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State | GA
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Zip | 30078-2980
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Country | US
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Telephone | 770-873-1804
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Fax | 404-796-7878
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Authorized Official
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Title or Position | CEO
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Name | MRS. TONYA M. JOHNSON
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Credential | LPC, MAC, CPCS & DTS
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Telephone | 770-873-8014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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 #4
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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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