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General NPI Number Information
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NPI Number | 1609017698
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL AND COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 550 LAZENBY DR
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City | SOMERVILLE
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State | TN
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Zip | 38068-5030
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Country | US
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Telephone | 901-569-0165
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Fax |
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Provider Business Mailing Address
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Address Line | 550 LAZENBY DR
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City | SOMERVILLE
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State | TN
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Zip | 38068-5030
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Country | US
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Telephone | 901-569-0165
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. MICHAEL EGAN ROHR
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Credential | EDD
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Telephone | 901-569-0165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC #193
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | #1424
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BACB #107
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License Number State | FL
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