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General NPI Number Information
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NPI Number | 1083494231
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Entity Type | Organization
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Legal Business Name | THE KAPPATAL COUNSELING GROUP INC
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 8323 SOUTHWEST FWY STE 453
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City | HOUSTON
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State | TX
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Zip | 77074-1615
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Country | US
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Telephone | 804-720-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 3604 FESTIVAL PARK PLZ APT 201
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City | CHESTER
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State | VA
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Zip | 23831-4456
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Country | US
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Telephone | 804-720-1188
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MALCOLM MANNING
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Credential |
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Telephone | 804-720-1188
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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