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General NPI Number Information
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NPI Number | 1689424681
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Entity Type | Organization
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Legal Business Name | CLEARLYCOUNSELING IN GEORGIA
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 04/06/2024
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Provider Practice Location Address
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Address Line | 1201 W PEACHTREE ST NW STE 2625 #437826
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City | ATLANTA
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State | GA
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Zip | 30309-3499
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Country | US
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Telephone | 404-919-4998
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 W PEACHTREE ST NW STE 2625 #437826
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City | ATLANTA
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State | GA
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Zip | 30309-3499
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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 | ADMINISTRATOR
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Name | SANDRA PAUL
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Credential |
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Telephone | 404-202-2788
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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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