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General NPI Number Information
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NPI Number | 1114421989
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Entity Type | Organization
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Legal Business Name | LSG COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 12238 QUEENSTON BLVD., SUITE G
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City | HOUSTON
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State | TX
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Zip | 77095-7709
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Country | US
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Telephone | 832-247-7815
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 75
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City | CYPRESS
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State | TX
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Zip | 77410-0075
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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 | MANAGER
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Name | DR. LATOYA S. GILMORE
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Credential | LPC
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Telephone | 832-247-7815
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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 | 67735
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License Number State | TX
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