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General NPI Number Information
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NPI Number | 1912140682
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Entity Type | Organization
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Legal Business Name | CROSSING POINT PSYCHOLOGY & COUNSELING
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 04/10/2009
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Provider Practice Location Address
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Address Line | 110 EVANS MILL DR SUITE 501
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City | DALLAS
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State | GA
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Zip | 30157-1622
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Country | US
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Telephone | 770-906-7430
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Fax |
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Provider Business Mailing Address
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Address Line | 4741 NICKLAUS DR
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City | DULUTH
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State | GA
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Zip | 30096-6064
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Country | US
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Telephone | 770-906-7430
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY D'NEIL HARRIS
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Credential | PSYD
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Telephone | 770-906-7430
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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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