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General NPI Number Information
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NPI Number | 1629439617
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Entity Type | Organization
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Legal Business Name | DISCOVERY COUNSELING AND ASSESSMENT CENTER, LLC
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 4006 HIGHWAY 34 E
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City | SHARPSBURG
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State | GA
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Zip | 30277-3531
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Country | US
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Telephone | 404-960-1282
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Fax | 855-817-2428
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Provider Business Mailing Address
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Address Line | 4006 HIGHWAY 34 E
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City | SHARPSBURG
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State | GA
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Zip | 30277-3531
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Country | US
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Telephone | 404-960-1282
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Fax | 855-817-2428
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | BRUCE N GRANT
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Credential | PSYD
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Telephone | 770-710-2173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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