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General NPI Number Information
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NPI Number | 1801414487
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Entity Type | Organization
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Legal Business Name | VISIONS OF LIFE COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/11/2020
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Provider Practice Location Address
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Address Line | 2692 HARRIS ST STE 101
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City | EAST POINT
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State | GA
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Zip | 30344-2672
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Country | US
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Telephone | 678-381-7126
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Fax | 678-248-9155
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Provider Business Mailing Address
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Address Line | 2692 HARRIS ST STE 101
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City | EAST POINT
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State | GA
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Zip | 30344-2672
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Country | US
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Telephone | 678-596-6703
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Fax | 678-948-2155
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. VOLANDA TATE
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Credential | MBA
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Telephone | 678-551-9198
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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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