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General NPI Number Information
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NPI Number | 1639690134
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Entity Type | Organization
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Legal Business Name | DESAI COUNSELING & CONSULTING
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 315 W PONCE DE LEON AVE STE 440
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City | DECATUR
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State | GA
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Zip | 30030-2449
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Country | US
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Telephone | 404-323-3553
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 BERRYHILL CIR SE
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City | SMYRNA
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State | GA
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Zip | 30082-4749
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SMRUTI DESAI
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Credential |
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Telephone | 404-323-3553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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