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General NPI Number Information
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NPI Number | 1073056024
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Entity Type | Organization
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Legal Business Name | TEXAS PREMIER COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 9741 PRESTON RD STE 105
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City | FRISCO
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State | TX
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Zip | 75033-2553
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Country | US
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Telephone | 972-895-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 190 EAST STACY RD STE 306 #325
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City | ALLEN
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State | TX
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Zip | 75002-8738
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Country | US
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Telephone | 972-895-2502
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MONIKA LOGAN
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Credential | M.A., LPC, LSOTP
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Telephone | 972-895-2502
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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 | 68834
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License Number State | TX
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