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General NPI Number Information
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NPI Number | 1881458685
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Entity Type | Organization
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Legal Business Name | COUNTERPOINT RECOVERY LLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 1740 GRASSLAND PKWY UNIT 201
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City | ALPHARETTA
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State | GA
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Zip | 30004-4737
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Country | US
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Telephone | 888-250-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 GRASSLAND PKWY UNIT 201
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City | ALPHARETTA
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State | GA
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Zip | 30004-4737
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DESTINY BROOKE HARRIS
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Credential |
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Telephone | 325-668-2134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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