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General NPI Number Information
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NPI Number | 1538147442
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Entity Type | Individual
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Provider Name | ALISHA MACAULEY M.S., NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 2330 SCENIC HWY S
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City | SNELLVILLE
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State | GA
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Zip | 30078-3115
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Country | US
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Telephone | 678-971-2000
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Fax | 404-478-9525
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Provider Business Mailing Address
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Address Line | P.O. BOX 391711
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City | SNELLVILLE
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State | GA
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Zip | 30039
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Country | US
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Telephone | 404-857-7152
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Fax | 404-478-9525
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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 | LPC005320
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License Number State | GA
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