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General NPI Number Information
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NPI Number | 1831546449
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Entity Type | Organization
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Legal Business Name | THIGPEN COUNSELING AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 505 N SEMINARY ST SUITE 5
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City | FLORENCE
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State | AL
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Zip | 35630-4678
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Country | US
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Telephone | 256-710-2594
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Fax | 256-712-5295
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Provider Business Mailing Address
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Address Line | 505 N SEMINARY ST SUITE 5
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City | FLORENCE
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State | AL
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Zip | 35630-4678
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Country | US
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Telephone | 256-710-2594
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Fax | 256-712-5295
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MS. AMY CAROL THIGPEN
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Credential | LPC
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Telephone | 256-710-2594
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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 | 2976
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License Number State | AL
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