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General NPI Number Information
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NPI Number | 1639940034
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Entity Type | Organization
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Legal Business Name | NOTUS PROFESSIONAL COUNSELING, INC.
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 3640 CHATTAHOOCHEE SUMMIT DR SE
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City | ATLANTA
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State | GA
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Zip | 30339-3254
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Country | US
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Telephone | 404-790-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 8263 OCEANUS DR
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City | BOCA RATON
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State | FL
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Zip | 33496-5630
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Country | US
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Telephone | 404-790-1610
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Fax |
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Authorized Official
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Title or Position | OWNER - CLINICAL DIRECTOR
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Name | MRS. SANDRA E. PASCUAL
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Credential | LPC, LMHC
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Telephone | 404-790-1610
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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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Taxonomy #2
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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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