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General NPI Number Information
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NPI Number | 1659768190
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Entity Type | Organization
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Legal Business Name | INNER PATH COUNSELING, INC.
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 3996 CLAIRMONT RD
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City | ATLANTA
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State | GA
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Zip | 30341-4938
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Country | US
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Telephone | 404-917-4252
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Fax |
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Provider Business Mailing Address
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Address Line | 3996 CLAIRMONT RD
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City | ATLANTA
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State | GA
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Zip | 30341-4938
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Country | US
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Telephone | 404-917-4252
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELISSA BEDDINGFIELD
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Credential | LPC
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Telephone | 404-917-4252
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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 | 005766
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License Number State | GA
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