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General NPI Number Information
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NPI Number | 1730433079
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Entity Type | Individual
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Provider Name | SCARLET CHANCEY LPC, CADCII, ACS
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Gender | Female
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 345 W MEMORIAL DR
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City | HINESVILLE
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State | GA
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Zip | 31313-2413
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Country | US
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Telephone | 912-456-2010
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Fax | 912-456-2011
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Provider Business Mailing Address
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Address Line | PO BOX 757
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City | GUYTON
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State | GA
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Zip | 31312-0757
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Country | US
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Telephone | 912-977-0529
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Fax | 912-500-2970
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CADCII1364
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License Number State | GA
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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 | LPC012915
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License Number State | GA
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Taxonomy #3
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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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