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General NPI Number Information
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NPI Number | 1578704250
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Entity Type | Organization
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Legal Business Name | NEW VISION COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 6311 STRICKLAND ST
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-1261
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Country | US
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Telephone | 678-838-8333
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Fax | 678-838-8444
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Provider Business Mailing Address
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Address Line | PO BOX 778
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-0778
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Country | US
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Telephone | 678-838-8333
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Fax | 678-838-8444
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Authorized Official
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Title or Position | OWNER
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Name | KRISTY CHRISTOPHER
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Credential | LPC
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Telephone | 678-838-8333
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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 | 005249
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License Number State | GA
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