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General NPI Number Information
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NPI Number | 1720526361
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Entity Type | Organization
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Legal Business Name | GOAL ACHIEVERS, LLC
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 1640 POWERS FERRY RD SE BLDG 27, STE 300
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City | MARIETTA
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State | GA
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Zip | 30067-5491
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Country | US
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Telephone | 770-500-6083
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Fax | 188-878-8462
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Provider Business Mailing Address
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Address Line | PO BOX 671492
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City | MARIETTA
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State | GA
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Zip | 30006-0025
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Country | US
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Telephone | 770-500-6083
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Fax | 888-788-4624
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Authorized Official
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Title or Position | OWNER
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Name | MS. NATALIE ELLIOTT
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Credential | LPC, LMFT
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Telephone | 770-500-6083
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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 | LPC6664
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License Number State | GA
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