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NPI 1063022119

NPI 1063022119 : T. SMITH COUNSELING LLC : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1063022119
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    Entity Type          |    Organization 
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    Legal Business Name  |    T. SMITH COUNSELING LLC 
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Dates
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    Enumeration Date     |    08/04/2020
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    Last Update Date     |    08/04/2020
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Provider Practice Location Address
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    Address Line         |    4645 AVON LN STE 270 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75033-1609
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    Country              |    US
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    Telephone            |    469-777-8156
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    Fax                  |    972-586-7032
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Provider Business Mailing Address
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    Address Line         |    901 LANCASHIRE LN 
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    City                 |    PROSPER
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    State                |    TX
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    Zip                  |    75078-5650
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    Country              |    US
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    Telephone            |    214-679-5519
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    Fax                  |    972-586-7032
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     TATIANA NICOLE SMITH ROBINSON 
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    Credential           |    LPC-S
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    Telephone            |    214-679-5519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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