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General NPI Number Information
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NPI Number | 1063117836
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Entity Type | Organization
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Legal Business Name | REACH COUNSELING
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 5751 KROGER DR STE 114
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City | FORT WORTH
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State | TX
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Zip | 76244-5633
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Country | US
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Telephone | 682-593-1402
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Fax | 682-316-9137
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Provider Business Mailing Address
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Address Line | 3913 JUSTIN DR
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City | FORT WORTH
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State | TX
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Zip | 76244-7667
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Country | US
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Telephone | 682-465-3101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARRIE MANNING
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Credential | LPC
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Telephone | 682-465-3101
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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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