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General NPI Number Information
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NPI Number | 1659795367
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Entity Type | Organization
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Legal Business Name | PRELUDE COUNSELING CENTERS INTL., INC.
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 1509 ATKINSON RD SUITE 2200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-7986
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Country | US
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Telephone | 678-665-2562
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Fax | 866-269-4084
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Provider Business Mailing Address
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Address Line | PO BOX 874
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City | DULUTH
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State | GA
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Zip | 30096-0016
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Country | US
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Telephone | 678-665-2562
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Fax | 866-269-4084
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MONEE NOEL MERRIWEATHER
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Credential | PSYD
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Telephone | 678-665-2562
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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 | LPC004470
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License Number State | GA
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