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General NPI Number Information
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NPI Number | 1477901940
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Entity Type | Organization
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Legal Business Name | NEW RISINGS COUNSELING LLC
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 1806 ASHBOROUGH CIR SE UNIT K
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City | MARIETTA
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State | GA
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Zip | 30067-6902
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Country | US
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Telephone | 404-432-6963
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Fax |
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Provider Business Mailing Address
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Address Line | 1806K ASHBOROUGH CIRCLE
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City | MARIETTA
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State | GA
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Zip | 30067
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Country | US
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Telephone | 404-432-6963
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. AALIM SHAFEEQ BEY
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Credential | LPC
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Telephone | 404-432-6963
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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 | LPC006080
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License Number State | GA
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