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General NPI Number Information
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NPI Number | 1528438850
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Entity Type | Individual
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Provider Name | TAMEKA SHANTA KING LPC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 3424 PEACHTREE RD NE STE 2200
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City | ATLANTA
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State | GA
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Zip | 30326-1156
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Country | US
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Telephone | 404-436-2563
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Fax | 866-277-9071
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Provider Business Mailing Address
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Address Line | 6160 RIVEROAK TER
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City | ATLANTA
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State | GA
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Zip | 30349-4078
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Country | US
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Telephone | 678-637-7853
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | APC004657
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC015366
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License Number State | GA
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