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General NPI Number Information
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NPI Number | 1508271024
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Entity Type | Organization
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Legal Business Name | COUNSELING SERVICES OF ATLANTA, LLC
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 376 POWDER SPRINGS ST STE 240A
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City | MARIETTA
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State | GA
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Zip | 30064-3499
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Country | US
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Telephone | 678-444-4505
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 HIDDEN SPRINGS WALK SE
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City | SMYRNA
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State | GA
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Zip | 30082-4254
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Country | US
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Telephone | 678-444-4505
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Fax | 678-606-9316
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Authorized Official
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Title or Position | MANAGER
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Name | NANCY STEVENSON
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Credential |
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Telephone | 678-444-4505
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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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