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General NPI Number Information
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NPI Number | 1730026675
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Entity Type | Organization
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Legal Business Name | SOUTHERN HERITAGE FINANCIAL GROUP
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 6452 DEKEON DR
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City | ATLANTA
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State | GA
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Zip | 30349-8854
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Country | US
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Telephone | 404-445-6258
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Fax | 404-381-2597
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Provider Business Mailing Address
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Address Line | 6452 DEKEON DR
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City | ATLANTA
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State | GA
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Zip | 30349-8854
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Country | US
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Telephone | 404-445-6258
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Fax | 404-381-2597
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Authorized Official
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Title or Position | MANAGING PRINCIPAL
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Name | JASMINE SHANAY YOUNG
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Credential | CPA
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Telephone | 404-445-6258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #6
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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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