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General NPI Number Information
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NPI Number | 1003620717
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Entity Type | Organization
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Legal Business Name | INSPIREHOPE HEALTH COUNSELING ASSOCIATES PLLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 7714 N HIGHWAY 146 STE B #1091
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City | BAYTOWN
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State | TX
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Zip | 77523-9580
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Country | US
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Telephone | 832-597-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 4814 MILL CREEK DR
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City | BAYTOWN
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State | TX
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Zip | 77521-4127
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Country | US
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Telephone | 832-597-7337
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FREDRICK GILLUM
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Credential | PSY.D, LPC-S
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Telephone | 832-597-7337
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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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