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General NPI Number Information
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NPI Number | 1548181555
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Entity Type | Organization
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Legal Business Name | THE MALAKI CO DBA LOVE THYSELF
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 783 MITCHELL BRIDGE RD
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City | ATHENS
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State | GA
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Zip | 30606-1919
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Country | US
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Telephone | 678-725-6890
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 EPPS BRIDGE PKWY STE 108-134
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City | ATHENS
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State | GA
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Zip | 30606-6132
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Country | US
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Telephone | 678-725-6890
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | DR. DONNETTA SHANTE WASHINGTON
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Credential | DSW, LCSW, LICSW
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Telephone | 678-725-6890
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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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Taxonomy #2
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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