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General NPI Number Information
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NPI Number | 1902679822
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Entity Type | Organization
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Legal Business Name | NICHE COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 1400 SEVER WOODS DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-6241
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Country | US
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Telephone | 678-783-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 SEVER WOODS DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-6241
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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 | OWNER
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Name | DR. MOLLIE INNOCENT-CUPID
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Credential |
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Telephone | 848-248-5223
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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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