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General NPI Number Information
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NPI Number | 1902412497
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Entity Type | Organization
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Legal Business Name | CAMILLE GRIER, LLC
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Dates
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Enumeration Date | 09/20/2020
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 2795 MAIN ST W STE 19A
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City | SNELLVILLE
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State | GA
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Zip | 30078-3072
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Country | US
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Telephone | 770-231-4792
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Fax |
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Provider Business Mailing Address
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Address Line | 532 HOLICK AVE
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City | HENDERSON
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State | NV
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Zip | 89011-4339
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Country | US
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Telephone | 770-231-4792
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAMILLE DIONE GRIER
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Credential | LPC
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Telephone | 770-231-4792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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