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General NPI Number Information
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NPI Number | 1982568994
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Entity Type | Organization
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Legal Business Name | BREAKING THE CYCLE PSYCHOTHERAPY SERVICES
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 2350 PRINCE AVE STE 1
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City | ATHENS
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State | GA
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Zip | 30606-6039
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Country | US
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Telephone | 706-425-9671
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Fax |
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Provider Business Mailing Address
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Address Line | 85 OLD FARM RD STE 100
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City | JEFFERSON
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State | GA
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Zip | 30549-2965
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Country | US
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Telephone | 706-425-9671
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Fax |
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Authorized Official
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Title or Position | THERAPIST AND OWNER
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Name | YESSICA ELIZABETH ROSS
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Credential | LPC
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Telephone | 470-891-9042
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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 |
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License Number State |
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