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General NPI Number Information
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NPI Number | 1962864462
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Entity Type | Organization
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Legal Business Name | NEW DAY COUNSELING LLC
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 413 TANGLEWOOD DR
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City | THOMASVILLE
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State | GA
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Zip | 31792-6872
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Country | US
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Telephone | 229-630-9948
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Fax |
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Provider Business Mailing Address
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Address Line | 413 TANGLEWOOD DR
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City | THOMASVILLE
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State | GA
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Zip | 31792-6872
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Country | US
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Telephone | 229-630-9948
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATRINA ANNETTE O'NEAL
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Credential | LMFT
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Telephone | 229-630-9948
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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 | MFT001028
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License Number State | GA
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