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General NPI Number Information
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NPI Number | 1588152052
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Entity Type | Individual
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Provider Name | SHAR GOOLSBY LPCC
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Gender | Female
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 327 DAHLONEGA ST STE A601
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City | CUMMING
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State | GA
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Zip | 30040-2488
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Country | US
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Telephone | 404-590-5042
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Fax |
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Provider Business Mailing Address
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Address Line | 1480 NISKEY LAKE RD SW
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City | ATLANTA
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State | GA
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Zip | 30331-6310
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Country | US
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Telephone | 202-631-4697
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LPCC0022669
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A000863
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License Number State | GA
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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 | APC010274
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306602655
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA.00014370
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License Number State | CO
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