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General NPI Number Information
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NPI Number | 1699689760
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Entity Type | Organization
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Legal Business Name | JASON RHOADS LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2876 JOHNSON FERRY RD STE 200
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City | MARIETTA
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State | GA
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Zip | 30062-8307
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Country | US
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Telephone | 404-993-7087
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Fax |
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Provider Business Mailing Address
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Address Line | 2876 JOHNSON FERRY RD STE 200
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City | MARIETTA
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State | GA
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Zip | 30062-8307
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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 | CEO
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Name | JASON RHOADS
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Credential | LPC
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Telephone | 404-993-7087
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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 | NULL
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