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General NPI Number Information
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NPI Number | 1851877252
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Entity Type | Organization
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Legal Business Name | AMELIA ADAMS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 1643 SLAUGHTER RD
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City | MADISON
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State | AL
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Zip | 35758-8692
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Country | US
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Telephone | 256-895-8148
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Fax | 256-489-8148
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Provider Business Mailing Address
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Address Line | 1643 SLAUGHTER RD
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City | MADISON
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State | AL
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Zip | 35758-8692
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Country | US
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Telephone | 256-895-8148
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Fax | 256-489-8148
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. AMELIA MAREL ADAMS
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Credential | LPC
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Telephone | 256-895-8148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 1586
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License Number State | AL
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