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General NPI Number Information
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NPI Number | 1588203160
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Entity Type | Organization
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Legal Business Name | JOURNEY BEGINS COUNSELING, INC.
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 4402 LAWRENCEVILLE RD STE 205
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City | LOGANVILLE
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State | GA
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Zip | 30052-2629
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Country | US
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Telephone | 470-955-6081
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Fax | 678-335-2512
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Provider Business Mailing Address
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Address Line | 4402 LAWRENCEVILLE RD STE 205
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City | LOGANVILLE
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State | GA
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Zip | 30052-2629
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Country | US
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Telephone | 470-955-6081
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Fax | 678-335-2512
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHERYL EGAN FEARS
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Credential | LPC
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Telephone | 470-955-6081
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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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