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General NPI Number Information
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NPI Number | 1720327562
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Entity Type | Organization
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Legal Business Name | SEAL CARES COUNSELING, LLC.
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Dates
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Enumeration Date | 02/13/2013
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 6346 GENE TERRY RD
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City | COTTONWOOD
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State | AL
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Zip | 36320-4253
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Country | US
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Telephone | 334-691-5061
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Fax | 334-699-8748
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Provider Business Mailing Address
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Address Line | 6346 GENE TERRY RD
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City | COTTONWOOD
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State | AL
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Zip | 36320-4253
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Country | US
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Telephone | 334-691-5061
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Fax | 334-699-8748
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Authorized Official
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Title or Position | CEO
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Name | MS. ROBIN MUSE
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Credential | ED.S, NCC, LPC
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Telephone | 334-691-5061
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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 | LPC002775
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License Number State | GA
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