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General NPI Number Information
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NPI Number | 1952757395
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Entity Type | Organization
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Legal Business Name | BRIGHTER TOMORROWS CONSULTING, LLC
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 1815 N EXPRESSWAY SUITE B
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City | GRIFFIN
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State | GA
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Zip | 30223-1185
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Country | US
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Telephone | 678-544-4402
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Fax | 678-688-8164
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Provider Business Mailing Address
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Address Line | 1815 N EXPRESSWAY SUITE B
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City | GRIFFIN
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State | GA
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Zip | 30223-1185
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Country | US
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Telephone | 678-544-4402
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Fax | 678-688-8164
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. SHANNON M ELLER
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Credential | LPC, LMFT, RPT-S
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Telephone | 678-408-4588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC005894
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT0001231
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License Number State | GA
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