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General NPI Number Information
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NPI Number | 1518475136
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Entity Type | Organization
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Legal Business Name | NEW JOURNEY COUNSELING, LLC
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 4411 SUWANEE DAM RD STE 635
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City | SUWANEE
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State | GA
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Zip | 30024-8708
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Country | US
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Telephone | 678-787-0001
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Fax | 470-202-1012
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Provider Business Mailing Address
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Address Line | 4411 SUWANEE DAM RD STE 635
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City | SUWANEE
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State | GA
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Zip | 30024-8708
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Country | US
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Telephone | 678-787-0001
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Fax | 470-202-1012
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Authorized Official
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Title or Position | OWNER
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Name | SABRINA HYLAND
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Credential | LPC
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Telephone | 678-787-0001
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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 | LPC006326
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License Number State | GA
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