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General NPI Number Information
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NPI Number | 1710159652
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Entity Type | Individual
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Provider Name | NERISSA MARIE PRATT MS, LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2601 SUMMERS ST NW STE 200
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City | KENNESAW
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State | GA
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Zip | 30144-3548
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Country | US
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Telephone | 678-615-8797
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Fax |
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Provider Business Mailing Address
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Address Line | 1435 BLUE HORIZON DR
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City | CLERMONT
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State | FL
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Zip | 34714-4982
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Country | US
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Telephone | 678-615-8797
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61550614
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License Number State | WA
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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 | LPC22738
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 291082
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC007739
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH9371
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License Number State | FL
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