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General NPI Number Information
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NPI Number | 1972455855
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Entity Type | Individual
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Provider Name | CASSANDRA BRANTLEY CRAWFORD LPC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 3619 S FULTON AVE STE 201
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City | HAPEVILLE
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State | GA
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Zip | 30354-1712
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Country | US
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Telephone | 404-963-1838
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Fax |
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Provider Business Mailing Address
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Address Line | 855 CRESCENT LN
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City | GRIFFIN
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State | GA
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Zip | 30224-9026
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | LPC014616
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License Number State | GA
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