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General NPI Number Information
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NPI Number | 1821811720
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Entity Type | Organization
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Legal Business Name | REDEEM COUNSELING AND COACHING
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 5887 GLENRIDGE DR STE 230
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-9929
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Country | US
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Telephone | 404-610-2007
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Fax |
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Provider Business Mailing Address
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Address Line | 601 PEBBLEBROOK RD SE
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City | MABLETON
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State | GA
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Zip | 30126-2607
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Country | US
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Telephone | 404-610-2007
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUNAMITA TUPLE
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Credential | MS, LPC
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Telephone | 404-610-2007
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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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