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General NPI Number Information
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NPI Number | 1013531094
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Entity Type | Organization
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Legal Business Name | LISA S WHIPPLE COUNSELING
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 2116 THOMPSON RD STE 102
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City | RICHMOND
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State | TX
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Zip | 77469-5415
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Country | US
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Telephone | 281-250-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 3507 DANCING DAISY LN
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City | RICHMOND
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State | TX
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Zip | 77406-1750
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Country | US
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Telephone | 281-250-6650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA SUE WHIPPLE
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Credential | LCSW
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Telephone | 281-250-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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