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General NPI Number Information
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NPI Number | 1902768500
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Entity Type | Organization
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Legal Business Name | EVOLVE & EMPOWER COUNSELING LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4171 MARIETTA ST
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-2696
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Country | US
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Telephone | 770-919-6106
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Fax |
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Provider Business Mailing Address
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Address Line | 2505 TRIBBLE GATES DR
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City | LOGANVILLE
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State | GA
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Zip | 30052-5034
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Country | US
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Telephone | 770-919-6106
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN SMITHSON
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Credential | LCSW
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Telephone | 678-663-9867
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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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