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General NPI Number Information
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NPI Number | 1881395655
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Entity Type | Organization
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Legal Business Name | REKINDLED HOPE COUNSSELING SERVICES
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 97 ATLANTA ST STE 301
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City | MCDONOUGH
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State | GA
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Zip | 30253-2192
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Country | US
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Telephone | 678-216-7721
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Fax |
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Provider Business Mailing Address
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Address Line | 97 ATLANTA ST STE 301
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City | MCDONOUGH
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State | GA
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Zip | 30253-2192
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Country | US
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Telephone | 470-458-9666
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Fax | 470-480-4633
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN AMAYA
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Credential | MS
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Telephone | 678-216-7721
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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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