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General NPI Number Information
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NPI Number | 1912463977
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Entity Type | Organization
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Legal Business Name | MEETING OF THE MINDS THERAPEUTIC SERVICES AND CONSULTING, LLC
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 652 KENRIDGE WAY
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City | SUWANEE
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State | GA
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Zip | 30024-7269
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Country | US
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Telephone | 732-213-5505
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | SUWANEE
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State | GA
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Zip | 30024-0054
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Country | US
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Telephone | 732-213-5505
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MR. NARAN E. BUTLER-HOUCK
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Credential | MSW, LCSW
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Telephone | 732-213-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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