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General NPI Number Information
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NPI Number | 1518819655
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Entity Type | Organization
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Legal Business Name | MORIEA CONSULTANTS LLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 154 RAINBOW WAY UNIT 122
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-3994
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Country | US
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Telephone | 470-571-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 154 RAINBOW WAY UNIT 122
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-3994
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Country | US
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Telephone | 470-571-2770
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL HEALTHCARE CONSULTANT
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Name | MRS. CHARLOTTE MORIEA LURCH-WINSTON
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Credential | LCSW, CCM
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Telephone | 470-571-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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