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General NPI Number Information
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NPI Number | 1730818048
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Entity Type | Organization
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Legal Business Name | HILLTOP COUNSELING LLC
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 101 GREATWOOD LN
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City | VILLA RICA
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State | GA
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Zip | 30180-5565
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Country | US
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Telephone | 269-421-1788
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Fax | 678-855-6715
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Provider Business Mailing Address
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Address Line | 101 GREATWOOD LN
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City | VILLA RICA
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State | GA
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Zip | 30180-5565
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Country | US
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Telephone | 269-421-1788
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Fax | 678-855-6715
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Authorized Official
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Title or Position | CEO
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Name | MR. DENARD FENAUD
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Credential | LMSW, MDIV
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Telephone | 772-408-3907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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