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General NPI Number Information
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NPI Number | 1962712661
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE COUNSELING SOLUTIONS LLC
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 300 E CHURCH ST
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City | MONROE
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State | GA
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Zip | 30655-2508
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Country | US
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Telephone | 770-267-2035
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 874
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City | MONROE
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State | GA
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Zip | 30655-0874
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Country | US
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Telephone | 770-267-2035
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FRANK D MORRIS JR.
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Credential | LCSW
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Telephone | 770-267-2035
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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 | 2266
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License Number State | GA
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