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General NPI Number Information
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NPI Number | 1689783482
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Entity Type | Individual
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Provider Name | COLEMAN JEFF HELTON LPC
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 1410 PICKWICK ST S
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City | SAVANNAH
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State | TN
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Zip | 38372-3519
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Country | US
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Telephone | 731-925-5054
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Fax | 731-925-5699
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Provider Business Mailing Address
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Address Line | 1109 BRIARWOOD DR
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City | IUKA
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State | MS
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Zip | 38852-8427
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Country | US
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Telephone | 731-925-5054
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Fax | 731-925-5699
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LPC1838
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LPC 1838
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License Number State | TN
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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 | LPC1838
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License Number State | TN
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