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General NPI Number Information
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NPI Number | 1710511373
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Entity Type | Organization
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Legal Business Name | CE HOPE COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 02/23/2020
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Last Update Date | 02/23/2020
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Provider Practice Location Address
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Address Line | 1 W COURT SQ STE 736
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City | DECATUR
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State | GA
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Zip | 30030-2538
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Country | US
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Telephone | 404-689-5004
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Fax |
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Provider Business Mailing Address
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Address Line | 2107 N DECATUR RD STE 129
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City | DECATUR
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State | GA
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Zip | 30033-5305
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Country | US
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Telephone | 404-689-5004
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. CYEREKA D EDOUARD
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Credential | LPC
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Telephone | 336-529-0259
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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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