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General NPI Number Information
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NPI Number | 1568150357
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Entity Type | Organization
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Legal Business Name | THE COUNSELING GROUP ANGIE RINK LLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 3816 BROWNS BRIDGE RD
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City | CUMMING
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State | GA
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Zip | 30041-3927
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Country | US
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Telephone | 678-780-6225
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Fax | 678-389-9807
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Provider Business Mailing Address
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Address Line | 3816 BROWNS BRIDGE RD
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City | CUMMING
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State | GA
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Zip | 30041-3927
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Country | US
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Telephone | 678-780-6225
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Fax | 678-389-9807
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Authorized Official
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Title or Position | OWNER
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Name | ANGIE RINK
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Credential | NCC, LPC, CPCS, CFMH
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Telephone | 678-780-6225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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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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