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General NPI Number Information
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NPI Number | 1629720412
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Entity Type | Organization
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Legal Business Name | MORGAN ROBERTS COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 01/22/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 3 OFFICE PARK CIR STE 113
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-2948
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Country | US
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Telephone | 205-440-3130
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Fax |
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Provider Business Mailing Address
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Address Line | 3 OFFICE PARK CIR STE 113
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-2948
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Country | US
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Telephone | 205-440-3130
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MARY MORGAN ROBERTS
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Credential | LICSW
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Telephone | 205-440-3130
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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