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General NPI Number Information
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NPI Number | 1659642791
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Entity Type | Organization
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Legal Business Name | SEASONS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 517 18TH ST N
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City | BESSEMER
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State | AL
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Zip | 35020-4843
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Country | US
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Telephone | 205-378-9038
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Fax | 205-285-9562
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Provider Business Mailing Address
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Address Line | PO BOX 474
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City | GARDENDALE
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State | AL
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Zip | 35071-0474
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Country | US
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Telephone | 205-378-9038
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Fax | 205-285-9562
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAMMY EDWARDS CAUTHEN
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Credential | LPC
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Telephone | 205-378-9038
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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 | 2566
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License Number State | AL
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