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General NPI Number Information
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NPI Number | 1104796366
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Entity Type | Organization
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Legal Business Name | IMPERFECT HARMONY COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1611 BEAR SPRING DR
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City | ROSENBERG
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State | TX
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Zip | 77469-3188
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Country | US
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Telephone | 409-276-7206
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 BEAR SPRING DR
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City | ROSENBERG
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State | TX
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Zip | 77469-3188
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Country | US
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Telephone | 409-276-7206
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEKIELA DOROUGH
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Credential | LPC
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Telephone | 409-276-7206
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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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