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General NPI Number Information
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NPI Number | 1518391622
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Entity Type | Organization
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Legal Business Name | ELIZABETH O'BRIEN & ASSOCIATES LLC
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 2801 BUFORD HWY NE SUITE 540
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City | ATLANTA
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State | GA
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Zip | 30329-2149
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Country | US
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Telephone | 907-378-6972
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 BUFORD HWY NE SUITE 540
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City | ATLANTA
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State | GA
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Zip | 30329-2149
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Country | US
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Telephone | 907-378-6972
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ELIZABETH ANN O'BRIEN
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Credential | MA LPC
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Telephone | 907-378-6972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 006575
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License Number State | GA
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