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General NPI Number Information
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NPI Number | 1831819127
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Entity Type | Organization
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Legal Business Name | ELEVATE M E COUNSELING, LLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 1505 PELHAM RD S STE 7
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City | JACKSONVILLE
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State | AL
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Zip | 36265-3707
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Country | US
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Telephone | 256-453-7731
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 PELHAM RD S STE 7
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City | JACKSONVILLE
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State | AL
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Zip | 36265-3707
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Country | US
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Telephone | 256-453-7731
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALISHA D MURPHY
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Credential | LPC
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Telephone | 256-453-7731
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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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