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General NPI Number Information
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NPI Number | 1831689744
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Entity Type | Organization
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Legal Business Name | GINA PARRIS LMFT, LLC
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 3383 WOLF DR
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City | GAINESVILLE
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State | GA
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Zip | 30506-1439
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Country | US
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Telephone | 770-841-2926
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Fax | 770-874-9083
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Provider Business Mailing Address
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Address Line | 3383 WOLF DR
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City | GAINESVILLE
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State | GA
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Zip | 30506-1439
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Country | US
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Telephone | 770-841-2926
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GINA PARRIS
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Credential | LMFT
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Telephone | 770-841-2926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT000719
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License Number State | GA
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