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General NPI Number Information
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NPI Number | 1073479978
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Entity Type | Organization
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Legal Business Name | RIDING WAVES COUNSELING PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 420 WHIPPOORWILL LN
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City | WAKE VILLAGE
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State | TX
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Zip | 75501-8640
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Country | US
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Telephone | 903-213-5079
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Fax |
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Provider Business Mailing Address
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Address Line | 420 WHIPPOORWILL LN
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City | WAKE VILLAGE
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State | TX
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Zip | 75501-8640
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Country | US
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Telephone | 903-213-5079
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | CECILIA M CADE
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Credential | LPC, ICST, RPT
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Telephone | 479-221-4723
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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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