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General NPI Number Information
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NPI Number | 1821747601
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Entity Type | Organization
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Legal Business Name | EVANS MENTAL HEALTH ASSOCIATES
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 601 N BELAIR SQ STE 15
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City | EVANS
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State | GA
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Zip | 30809-4323
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Country | US
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Telephone | 706-825-4461
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Fax | 706-203-3505
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Provider Business Mailing Address
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Address Line | PO BOX 3261
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City | EVANS
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State | GA
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Zip | 30809-0089
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Country | US
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Telephone | 402-515-1010
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. CHELSEA MARY CARSON
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Credential | MD
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Telephone | 706-825-4461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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