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General NPI Number Information
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NPI Number | 1508784463
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Entity Type | Organization
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Legal Business Name | STALLWORTH SYNC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 2853 CANDLER RD SIDE #370061
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City | DECATUR
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State | GA
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Zip | 30037-5202
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Country | US
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Telephone | 404-493-0526
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 370061
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City | DECATUR
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State | GA
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Zip | 30037-0061
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. LADONNA CATHERINE STALLWORTH
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Credential | LPC, LPCC, CPCS
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Telephone | 404-493-0526
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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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