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General NPI Number Information
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NPI Number | 1780268243
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Entity Type | Organization
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Legal Business Name | STRENGTH & SERENITY COUNSELING, LLC
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 320 S MADISON AVE
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City | MONROE
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State | GA
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Zip | 30655
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Country | US
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Telephone | 314-484-7709
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Fax |
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Provider Business Mailing Address
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Address Line | 4160 LOGAN DR UNIT 2195
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City | LOGANVILLE
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State | GA
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Zip | 30052-9524
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Country | US
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Telephone | 314-484-7709
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | SIMARA BLAIR
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Credential | LMFT
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Telephone | 314-484-7709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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