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NPI 1790020527

NPI 1790020527 : COUNT IT ALL JOY COUNSELING SERVICES, LLC : JACKSON, MS

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General NPI Number Information
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    NPI Number           |    1790020527
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    Entity Type          |    Organization 
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    Legal Business Name  |    COUNT IT ALL JOY COUNSELING SERVICES, LLC 
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Dates
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    Enumeration Date     |    12/05/2012
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    Last Update Date     |    12/05/2012
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Provider Practice Location Address
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    Address Line         |    4500 I 55 N SUITE 220 HIGHLAND VILLAGE
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    City                 |    JACKSON
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    State                |    MS
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    Zip                  |    39211-5930
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    Country              |    US
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    Telephone            |    601-832-2956
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    Fax                  |    601-956-0718
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Provider Business Mailing Address
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    Address Line         |    4500 I-55 NORTH; SUITE 220 HIGHLAND VILLAGE
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    City                 |    JACKSON
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    State                |    MS
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    Zip                  |    39211
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    Country              |    US
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    Telephone            |    601-832-2956
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    Fax                  |    601-956-0718
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. LEONA D. BISHOP 
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    Credential           |    LPC
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    Telephone            |    601-832-2956
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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       |    0594
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    License Number State |    MS
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