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General NPI Number Information
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NPI Number | 1083076640
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Entity Type | Individual
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Provider Name | CHERIE SPELLMAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 07/22/2023
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Provider Practice Location Address
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Address Line | 414 N MAIN ST STE 103
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City | GRAPEVINE
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State | TX
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Zip | 76051-3395
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Country | US
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Telephone | 817-961-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 HIDDEN BROOK DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-2671
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0001463
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | M 1400016
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 203671
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License Number State | TX
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