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NPI 1831670827

NPI 1831670827 : A PLACE TO GROW COUNSELING AND CONSULTING SERVICES : PEACHTREE CORNERS, GA

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General NPI Number Information
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    NPI Number           |    1831670827
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    Entity Type          |    Organization 
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    Legal Business Name  |    A PLACE TO GROW COUNSELING AND CONSULTING SERVICES 
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Dates
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    Enumeration Date     |    08/27/2018
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    Last Update Date     |    11/05/2024
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Provider Practice Location Address
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    Address Line         |    3867 HOLCOMB BRIDGE RD STE 700 
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    City                 |    PEACHTREE CORNERS
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    State                |    GA
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    Zip                  |    30092-2210
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    Country              |    US
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    Telephone            |    404-775-3050
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8213 MCKENZIE PL 
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    City                 |    LITHONIA
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    State                |    GA
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    Zip                  |    30058-5293
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    Country              |    US
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    Telephone            |    404-775-3050
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MELISSA  BROWN 
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    Credential           |    LPC
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    Telephone            |    404-775-3050
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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       |    LPC008843
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    License Number State |    GA
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