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General NPI Number Information
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NPI Number | 1639847775
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Entity Type | Organization
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Legal Business Name | BESTCARE COUNSELING, PC
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 304 ROOSEVELT ST
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City | DUBLIN
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State | GA
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Zip | 31021-6140
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Country | US
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Telephone | 478-304-2806
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 SCOTT DR
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City | DUBLIN
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State | GA
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Zip | 31021-3017
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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 | PRESIDENT
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Name | CORETTA GREEN
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Credential | LPC, CPCS
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Telephone | 478-304-2806
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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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