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General NPI Number Information
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NPI Number | 1912895251
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Entity Type | Organization
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Legal Business Name | LEARNING TO LIVE AGAIN
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 6858 SWINNEA RD STE B
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City | SOUTHAVEN
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State | MS
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Zip | 38671-9493
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Country | US
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Telephone | 662-205-0567
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Fax | 662-856-4746
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Provider Business Mailing Address
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Address Line | 6858 SWINNEA RD BLDG 3 STE B
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City | SOUTHAVEN
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State | MS
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Zip | 38671-9493
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Country | US
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Telephone | 662-205-0567
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Fax | 662-856-4746
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Authorized Official
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Title or Position | TRAUMA & GRIEF THERAPIST
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Name | TONYA M ANDREWS
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Credential | LPC, NCC
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Telephone | 901-371-7073
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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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