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General NPI Number Information
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NPI Number | 1780276196
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Entity Type | Organization
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Legal Business Name | YOUR GOAL CONCIERGE
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 2018 SUNSET CIR
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City | NASHVILLE
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State | TN
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Zip | 37207-3336
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Country | US
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Telephone | 615-525-9033
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Fax |
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Provider Business Mailing Address
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Address Line | 2018 SUNSET CIR
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City | NASHVILLE
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State | TN
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Zip | 37207-3336
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Country | US
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Telephone | 615-525-9033
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Fax |
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Authorized Official
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Title or Position | CEO COUNSELOR AND COACH
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Name | ERICA KESSE
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Credential | M.S., M.A.
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Telephone | 615-525-9033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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