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General NPI Number Information
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NPI Number | 1992364533
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Entity Type | Organization
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Legal Business Name | STEPPING STONES FAMILY WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 101 W BARNARD ST
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City | GLENNVILLE
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State | GA
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Zip | 30427-2001
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Country | US
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Telephone | 912-237-0680
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 208
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City | GLENNVILLE
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State | GA
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Zip | 30427-0208
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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 | OWNER/COUNSELOR
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Name | MRS. MORGAN LYNN BLAND
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Credential | APC, NCC
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Telephone | 912-237-0680
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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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