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General NPI Number Information
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NPI Number | 1962331090
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Entity Type | Organization
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Legal Business Name | ITSNME2, LLC.
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 651 THORNTON RD STE R
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122
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Country | US
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Telephone | 470-240-0048
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Fax |
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Provider Business Mailing Address
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Address Line | 3506 SUMMERLIN PKWY
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-7812
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Country | US
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Telephone | 470-240-6604
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | LATOYA T. NEWMAN
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Credential | LMFT
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Telephone | 470-240-6604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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