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General NPI Number Information
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NPI Number | 1730766122
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Entity Type | Organization
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Legal Business Name | THE CONSCIOUS SPOT LTD
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 203 MISTY HILL TRL
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City | DALLAS
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State | GA
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Zip | 30132-1197
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Country | US
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Telephone | 404-234-2955
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Fax | 949-561-4560
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Provider Business Mailing Address
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Address Line | 203 MISTY HILL TRL
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City | DALLAS
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State | GA
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Zip | 30132-1197
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Country | US
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Telephone | 404-234-2955
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Fax | 949-561-4560
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Authorized Official
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Title or Position | OWNER
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Name | BRIGITTA ARNOLD
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Credential | LPC
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Telephone | 404-234-2955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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