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General NPI Number Information
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NPI Number | 1497271159
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Entity Type | Organization
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Legal Business Name | HWH PSYCHOTHERAPY INC.
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 4939 LOWER ROSWELL RD
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City | MARIETTA
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State | GA
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Zip | 30068-4338
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Country | US
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Telephone | 336-708-0750
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Fax | 336-708-0750
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Provider Business Mailing Address
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Address Line | 1827 DONNALEE AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-2303
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Country | US
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Telephone | 336-708-0750
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | HANNAH WINEBURG
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Credential | LMSW
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Telephone | 336-708-0750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 007255
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License Number State | GA
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