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General NPI Number Information
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NPI Number | 1629854245
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Entity Type | Organization
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Legal Business Name | ESSENTIALLY YOU COUNSELING & CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 1105 SOUTHVIEW LN STE 103 PMB 178
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City | TUSCALOOSA
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State | AL
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Zip | 35405-6391
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Country | US
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Telephone | 205-565-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 SOUTHVIEW LN STE 103 PMB BOX 178
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City | TUSCALOOSA
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State | AL
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Zip | 35405-6391
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Country | US
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Telephone | 205-565-8884
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | EBONE NEWTON
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Credential | ED.S., LPC, NCC
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Telephone | 205-565-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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