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General NPI Number Information
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NPI Number | 1659196459
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Entity Type | Organization
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Legal Business Name | 4E PROFESSIONAL SERVICES LLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 7027 OLD MADISON PIKE NW
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City | HUNTSVILLE
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State | AL
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Zip | 35806-2368
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Country | US
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Telephone | 256-542-1166
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Fax | 877-895-0105
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Provider Business Mailing Address
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Address Line | 145 CANTERBURY DR
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City | MADISON
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State | AL
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Zip | 35758-7934
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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/COUNSELOR
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Name | TRACI FOREE
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Credential | LPC
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Telephone | 530-340-0028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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