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General NPI Number Information
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NPI Number | 1710375605
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Entity Type | Organization
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Legal Business Name | ROADMAPS TO RECOVERY COUNSELING SERVICES OF MIDSOUTH
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Dates
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Enumeration Date | 12/31/2014
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 3778 FALLING ACORN LN APT 302
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City | MEMPHIS
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State | TN
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Zip | 38125-4585
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Country | US
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Telephone | 901-270-7361
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Fax | 844-269-9997
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Provider Business Mailing Address
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Address Line | PO BOX 38741
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City | GERMANTOWN
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State | TN
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Zip | 38183-0741
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Country | US
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Telephone | 901-270-7361
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Fax | 844-269-9997
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Authorized Official
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Title or Position | OWNER/PROFESSIONAL COUNSELOR
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Name | MRS. NATASHA HOUSTON HARRIS
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Credential | LPC, NCC
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Telephone | 901-270-7361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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