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General NPI Number Information
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NPI Number | 1861878126
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Entity Type | Organization
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Legal Business Name | SOUTHERN OAKS COUNSELING, LLC
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Dates
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Enumeration Date | 08/09/2015
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1222 BERKLEY HILLS PASS
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City | EVANS
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State | GA
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Zip | 30809-7474
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Country | US
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Telephone | 706-312-6761
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Fax | 762-994-1947
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Provider Business Mailing Address
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Address Line | 1222 BERKLEY HILLS PASS
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City | EVANS
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State | GA
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Zip | 30809-7474
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Country | US
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Telephone | 706-312-6761
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Fax | 762-994-1947
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | DR. TASHA ANDREA PRITCHETT
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Credential | PHD, LCSW, CBIS, CCI
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Telephone | 706-312-6761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW005614
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License Number State | GA
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