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General NPI Number Information
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NPI Number | 1053046763
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Entity Type | Organization
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Legal Business Name | PENNY 4 YOUR THOUGHTS COUNSELING, PLLC
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 550 S WATTERS RD STE 230
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City | ALLEN
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State | TX
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Zip | 75013-5229
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Country | US
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Telephone | 214-415-0178
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Fax |
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Provider Business Mailing Address
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Address Line | 102 CAMINO REAL WEST
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City | WYLIE
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State | TX
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Zip | 75098
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Country | US
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Telephone | 214-415-0178
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. PENNY MATTHEWS
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Credential | LPC
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Telephone | 214-415-0178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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