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General NPI Number Information
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NPI Number | 1871208090
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Entity Type | Organization
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Legal Business Name | PLURAL MINDS THERAPY LLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 4555 MANSELL RD STE 300
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City | ALPHARETTA
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State | GA
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Zip | 30022-8219
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Country | US
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Telephone | 404-583-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 4555 MANSELL RD STE 300
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City | ALPHARETTA
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State | GA
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Zip | 30022-8219
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Country | US
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Telephone | 404-583-9850
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | LUCIANA SACRAMENTO AGUIAR
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Credential | LPC, CRC, NCC
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Telephone | 404-583-9850
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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