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General NPI Number Information
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NPI Number | 1558197723
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Entity Type | Organization
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Legal Business Name | IAAP MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 1755 THE EXCHANGE SE
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City | ATLANTA
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State | GA
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Zip | 30339-7400
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Country | US
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Telephone | 404-789-7313
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 CUMBERLAND BLVD SE
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City | ATLANTA
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State | GA
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Zip | 30339-4366
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Country | US
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Telephone | 404-789-7313
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | TIEARA SMITH
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Credential | MSW
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Telephone | 404-789-7313
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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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