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General NPI Number Information
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NPI Number | 1730727272
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Entity Type | Organization
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Legal Business Name | HARBOR COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 5520 HIGHWAY 280 STE 4
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2308
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Country | US
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Telephone | 256-577-0217
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Fax |
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Provider Business Mailing Address
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Address Line | 519 ALTA VISTA DR
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City | CHELSEA
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State | AL
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Zip | 35043-6237
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Country | US
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Telephone | 256-577-0217
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | NEELY HAYNES
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Credential | ALC
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Telephone | 256-577-0217
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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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