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General NPI Number Information
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NPI Number | 1780503714
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Entity Type | Organization
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Legal Business Name | ART & SOUL COUNSELING STUDIO, LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1123 CLAIRMONT RD
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City | DECATUR
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State | GA
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Zip | 30030-1228
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Country | US
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Telephone | 678-661-6304
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Fax |
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Provider Business Mailing Address
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Address Line | 431 OMNIA CT
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-2213
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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 | SHEENA DIAZ
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Credential | LPC
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Telephone | 404-825-5922
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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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