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General NPI Number Information
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NPI Number | 1093467318
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Entity Type | Organization
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Legal Business Name | PURE BLISS COUNSELING PLLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 2225 COUNTY ROAD 90 STE 219
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City | PEARLAND
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State | TX
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Zip | 77584-5111
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Country | US
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Telephone | 832-916-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 9242 LOGANS RUN LN
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City | HOUSTON
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State | TX
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Zip | 77075-4862
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Country | US
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Telephone | 409-457-2514
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Fax |
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Authorized Official
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Title or Position | OWNER/LEAD CLINICIAN
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Name | MRS. TREVOR YOUNG
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Credential | LPC
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Telephone | 409-457-2514
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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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