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General NPI Number Information
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NPI Number | 1043700636
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Entity Type | Organization
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Legal Business Name | POSITIVE PROGRESSIONS COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 6060 N CENTRAL EXPY STE 460
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City | DALLAS
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State | TX
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Zip | 75206-5280
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Country | US
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Telephone | 469-285-2530
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Fax |
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Provider Business Mailing Address
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Address Line | 17330 PRESTON RD STE 200D
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City | DALLAS
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State | TX
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Zip | 75252-6106
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Country | US
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Telephone | 469-285-2530
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Fax |
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Authorized Official
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Title or Position | LICENSED COUNSELOR/ CEO
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Name | MARQUITA Y. CLAY
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Credential | LPC
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Telephone | 469-285-2530
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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 | 75801
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License Number State | TX
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