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General NPI Number Information
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NPI Number | 1699130831
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Entity Type | Individual
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Provider Name | NICOLE HARRIS MILLS LPC
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Gender | Female
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1838 OLD NORCROSS RD STE 400
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-8804
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Country | US
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Telephone | 470-795-7695
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Fax |
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Provider Business Mailing Address
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Address Line | 4255 WADE GREEN RD NW STE 414
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City | KENNESAW
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State | GA
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Zip | 30144-1763
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Country | US
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Telephone | 770-389-8100
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Fax |
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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 | 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC011031
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License Number State | GA
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