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General NPI Number Information
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NPI Number | 1649812637
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Entity Type | Organization
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Legal Business Name | HEALING GRACE COUNSELING SERVICES
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 1900 THE EXCHANGE SUITE 400
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City | MARIETTA
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State | GA
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Zip | 30062-3006
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Country | US
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Telephone | 678-208-3425
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 THE EXCHANGE SUITE 400
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City | MARIETTA
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State | GA
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Zip | 30062
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Country | US
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Telephone | 678-208-3425
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MRS. NATALIE B. ALEXANDER
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Credential | LPC
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Telephone | 678-208-3425
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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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