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General NPI Number Information
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NPI Number | 1851894224
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Entity Type | Organization
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Legal Business Name | A STRAIGHT PATH COUNSELING PLLC
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 906 SPRING ST
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City | WAYNESBORO
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State | MS
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Zip | 39367-2424
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Country | US
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Telephone | 601-466-2186
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1514
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City | WAYNESBORO
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State | MS
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Zip | 39367-1514
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Country | US
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Telephone | 601-466-2186
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Fax |
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Authorized Official
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Title or Position | LPC/OWNER
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Name | MS. BONNIE GIVENS
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Credential | LPC
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Telephone | 601-466-2186
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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 | 3454
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1961
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License Number State | MS
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