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General NPI Number Information
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NPI Number | 1629896915
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Entity Type | Organization
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Legal Business Name | DREAMS OVER DISTRACTIONS CONSULTING & COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1800 W MAIN ST STE 10
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City | TUPELO
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State | MS
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Zip | 38801-3256
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Country | US
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Telephone | 662-401-1712
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 MICHAEL CIR
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City | TUPELO
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State | MS
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Zip | 38801-6111
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Country | US
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Telephone | 662-401-1712
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNETTE C JAMES
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Credential | LPC
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Telephone | 662-401-1712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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