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General NPI Number Information
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NPI Number | 1639496169
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Entity Type | Individual
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Provider Name | TONYA LYNN SUMNER BROWN M.DIV., LPC, LPCT,
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Gender | Female
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 1 W COURT SQ STE 750
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City | DECATUR
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State | GA
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Zip | 30030-2538
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Country | US
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Telephone | 678-978-9391
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Fax | 770-538-1716
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Provider Business Mailing Address
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Address Line | 3982 MISTY LK
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City | ELLENWOOD
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State | GA
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Zip | 30294-1164
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Country | US
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Telephone | 404-316-0226
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Fax | 770-538-1716
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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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