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NPI Code Detail

MEDICARE: DOUTE COUNSELING SERVICES

MEDICARE: DOUTE COUNSELING SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1396697611
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOUTE COUNSELING SERVICES
Provider Business Mailing Address
First Line : 500 LANIER AVE W STE 907B
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-7641
Country : US
Telephone Number : 678-489-7384
Fax Number : 866-311-8215
Provider Business Practice Location Address
First Line : 500 LANIER AVE W STE 907B
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-7641
Country : US
Telephone Number : 678-489-7384
Fax Number : 866-311-8215
Authorized Official
Title or Position : CEO
Name : JEMAL DOUTE
Credential : LMFT
Telephone Number : 678-489-7384
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “DOUTE COUNSELING SERVICES ” Practice Location

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