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General NPI Number Information
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NPI Number | 1073230439
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Entity Type | Organization
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Legal Business Name | INKED COUNSELING CENTER PLLC
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 3410 BASSWOOD BLVD SUITE 120
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City | FORT WORTH
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State | TX
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Zip | 76137-0000
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Country | US
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Telephone | 817-791-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 3410 BASSWOOD BLVD SUITE 120
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City | FORT WORTH
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State | TX
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Zip | 76137-0000
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Country | US
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Telephone | 817-791-8410
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MRS. APRIL WOOLDRIDGE
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Credential | LPC-S
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Telephone | 817-791-8410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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