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General NPI Number Information
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NPI Number | 1063952885
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Entity Type | Organization
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Legal Business Name | FORWARD TRANSITIONS COUNSELING, PLLC
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 308 E RENFRO ST SUITE 208
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City | BURLESON
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State | TX
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Zip | 76028-3941
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Country | US
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Telephone | 682-352-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 308 E RENFRO ST SUITE 208
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City | BURLESON
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State | TX
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Zip | 76028-3941
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Country | US
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Telephone | 682-352-0000
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Fax |
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Authorized Official
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Title or Position | OWNER/MARRIAGE AND FAMILY THERAPIST
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Name | CARI DENHAM
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Credential | LMFT
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Telephone | 408-506-4385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 202388
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License Number State | TX
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