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General NPI Number Information
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NPI Number | 1083904601
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Entity Type | Organization
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Legal Business Name | NEIOS COUNSELING SERVICES
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 1010 N DAVIS DR STE A
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City | ARLINGTON
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State | TX
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Zip | 76012-3240
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Country | US
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Telephone | 817-706-7291
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Fax | 817-887-0910
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Provider Business Mailing Address
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Address Line | 4160 FOSSILE BUTTE DR
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City | FORT WORTH
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State | TX
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Zip | 76244-6914
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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 | OWNER
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Name | MR. STEPHEN LIVELY
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Credential | LPC
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Telephone | 817-706-7291
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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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