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General NPI Number Information
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NPI Number | 1659934255
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Entity Type | Organization
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Legal Business Name | TOGETHER EMPOWERED INC
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 4720 PEACHTREE INDUSTRIAL BLVD STE 4201
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City | BERKLEY LAKE
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State | GA
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Zip | 30071
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Country | US
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Telephone | 404-900-9586
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Fax |
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Provider Business Mailing Address
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Address Line | 3470 MCCLURE BRIDGE RD STE 621
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City | DULUTH
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State | GA
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Zip | 30096
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Country | US
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Telephone | 404-900-9586
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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 | DR. BERTRINA OLIVIA WEST
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Credential | PHD
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Telephone | 404-900-9583
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #6
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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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