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General NPI Number Information
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NPI Number | 1700040037
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD COUNSELING CENTER,LLC
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 501 7TH ST N SUITE 9
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City | COLUMBUS
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State | MS
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Zip | 39701-4683
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Country | US
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Telephone | 662-240-4090
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Fax | 662-240-9992
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Provider Business Mailing Address
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Address Line | 501 7TH STREET SUITE 9
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City | COLUMBUS
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State | MS
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Zip | 39701-4683
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Country | US
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Telephone | 662-240-4090
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Fax | 662-240-9992
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Authorized Official
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Title or Position | LICENSED MARRIAGE AND FAMILY THERAP
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Name | MRS. YOLANDA KING JONES
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Credential | LMFT
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Telephone | 662-240-4090
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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 | T0363
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License Number State | MS
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