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General NPI Number Information
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NPI Number | 1780694844
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Entity Type | Organization
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Legal Business Name | LORI L NELSON LPC LMHC PC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 213 CECIL STREET
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City | THOMASVILLE
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State | GA
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Zip | 31792-5608
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Country | US
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Telephone | 229-227-1295
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Fax | 229-227-1616
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Provider Business Mailing Address
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Address Line | PO BOX 2446
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City | THOMASVILLE
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State | GA
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Zip | 31799-2446
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Country | US
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Telephone | 229-227-1295
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Fax | 229-227-1616
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Authorized Official
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Title or Position | OWNER LPC LMHC
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Name | MS. LORI L NELSON
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Credential | MS ED S
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Telephone | 229-227-1295
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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 | 3131
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH6282
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License Number State | FL
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