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General NPI Number Information
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NPI Number | 1740983725
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Entity Type | Organization
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Legal Business Name | A BRIGHTER U COUNSELING COACHING & CONSULTING LLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 1331 UNION AVE STE 1000
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City | MEMPHIS
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State | TN
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Zip | 38104-7501
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Country | US
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Telephone | 901-609-4431
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Fax |
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Provider Business Mailing Address
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Address Line | 2657 CROSS VINE CV S
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City | CORDOVA
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State | TN
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Zip | 38016-8460
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JELISA ANDERSON
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Credential | LPC-MHSP
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Telephone | 901-238-8926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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