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General NPI Number Information
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NPI Number | 1568133445
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Entity Type | Organization
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Legal Business Name | EMPOWERING MINDS CARE AND COUNSELING
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1836 CARROLLTON VILLA RICA HWY STE 103
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City | VILLA RICA
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State | GA
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Zip | 30180-5193
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Country | US
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Telephone | 770-783-9163
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Fax |
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Provider Business Mailing Address
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Address Line | 108 ROBERT HENDRIX DR
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City | CARROLLTON
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State | GA
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Zip | 30117-2160
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Country | US
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Telephone | 904-446-5901
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. FAITH JOHNSON
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Credential | LPC
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Telephone | 770-580-3831
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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 |
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License Number State |
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