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General NPI Number Information
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NPI Number | 1538588009
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Entity Type | Organization
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Legal Business Name | QUEST PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 04/14/2014
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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 | 678-825-5371
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 360560
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City | DECATUR
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State | GA
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Zip | 30036-0560
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Country | US
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Telephone | 678-825-5371
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LARAE WILLIAMS
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Credential | PSY.D.
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Telephone | 678-825-5371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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