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General NPI Number Information
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NPI Number | 1023611969
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Entity Type | Organization
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Legal Business Name | 246 COUNSELING, LLC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 07/06/2025
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Provider Practice Location Address
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Address Line | 4203 SHERWOOD DR
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City | MESQUITE
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State | TX
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Zip | 75150-1649
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Country | US
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Telephone | 469-855-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 1284 ALTUDA DR
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City | FORNEY
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State | TX
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Zip | 75126-3489
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Country | US
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Telephone | 972-292-8513
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS JENNIFER KAY SMITH
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Credential | LPC-S
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Telephone | 469-855-8411
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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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