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General NPI Number Information
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NPI Number | 1609961903
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Entity Type | Organization
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Legal Business Name | ROWAN MENTAL HEALTH SERVICES INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 315 WEST PONCE DELEON AVE. SUITE 480
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City | DECATUR
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State | GA
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Zip | 30030
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Country | US
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Telephone | 404-514-9902
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Fax |
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Provider Business Mailing Address
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Address Line | 315 WEST PONCE DELEON AVE. SUITE 480
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City | DECATUR
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State | GA
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Zip | 30030
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Country | US
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Telephone | 404-514-9902
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ROSEMARY ROWAN
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Credential | MSW, ACSW, LCSW
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Telephone | 404-514-9902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 000385
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License Number State | GA
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