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General NPI Number Information
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NPI Number | 1659161446
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Entity Type | Organization
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Legal Business Name | COMPASSION COVE COUNSELING, LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3754 LAVISTA RD STE 200
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City | TUCKER
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State | GA
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Zip | 30084-5627
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Country | US
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Telephone | 770-810-5789
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Fax |
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Provider Business Mailing Address
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Address Line | 3754 LAVISTA RD STE 200
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City | TUCKER
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State | GA
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Zip | 30084-5627
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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 | CLINICAL DIRECTOR
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Name | HANNAH BOOS
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Credential | MA, LPC, NCC, CPTT
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Telephone | 678-201-1267
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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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