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General NPI Number Information
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NPI Number | 1104560531
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH SERVICES OF DENTON
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 2660 SCRIPTURE ST STE 210
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City | DENTON
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State | TX
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Zip | 76201-4343
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Country | US
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Telephone | 214-714-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 SCRIPTURE ST STE 210
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City | DENTON
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State | TX
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Zip | 76201-4343
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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 | CLINIC DIRECTOR
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Name | BRITTANY BAYMON
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Credential | LCSW
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Telephone | 773-306-8819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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