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General NPI Number Information
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NPI Number | 1699548776
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Entity Type | Organization
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Legal Business Name | OPEN GATES COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 1800 W MAIN ST
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City | TUPELO
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State | MS
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Zip | 38801-3254
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Country | US
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Telephone | 662-322-3898
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24
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City | BELDEN
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State | MS
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Zip | 38826-0024
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Country | US
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Telephone | 662-322-3898
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHARON GATES-ALBERT
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Credential |
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Telephone | 662-322-3898
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School 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 | 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 #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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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