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General NPI Number Information
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NPI Number | 1841829942
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Entity Type | Individual
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Provider Name | MEREDITH K STUTTS LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 129 E PARK CIR
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3000
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Country | US
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Telephone | 205-836-7283
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Fax | 205-836-9594
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Provider Business Mailing Address
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Address Line | 3940 MONTCLAIR RD STE 205
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City | MOUNTAIN BRK
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State | AL
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Zip | 35213-2416
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Country | US
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Telephone | 205-278-7131
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2407C
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License Number State | AL
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