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General NPI Number Information
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NPI Number | 1780505198
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Entity Type | Organization
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Legal Business Name | SEEDS FOR SUCCESS COUNSELING, LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 6465 JAMES B RIVERS MEMORIAL DR
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-2955
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Country | US
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Telephone | 678-658-0906
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 602
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City | STONE MOUNTAIN
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State | GA
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Zip | 30086-0602
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Country | US
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Telephone | 678-658-0906
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA MICHAEL JACOBSON
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Credential |
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Telephone | 678-658-0906
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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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