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General NPI Number Information
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NPI Number | 1487273884
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Entity Type | Organization
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Legal Business Name | STILL PERSPECTIVES COUNSELING LLC
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 1265 INERSTATE PRWY SUITE B
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City | AUGUSTA
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State | GA
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Zip | 30909
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Country | US
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Telephone | 912-246-0623
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Fax | 706-305-3139
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Provider Business Mailing Address
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Address Line | 916 WINDMILL LANE
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City | EVANS
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State | GA
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Zip | 30809
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Country | US
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Telephone | 912-246-0623
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Fax | 706-305-3139
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Authorized Official
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Title or Position | OWNER
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Name | MS. DONNA M STILL
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Credential | LPC
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Telephone | 912-246-0623
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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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