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General NPI Number Information
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NPI Number | 1114590346
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Entity Type | Organization
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Legal Business Name | SAFE HARBOR COASTAL COUNSELING PLLC
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Dates
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Enumeration Date | 07/24/2021
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Last Update Date | 07/24/2021
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Provider Practice Location Address
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Address Line | 4920 SEAWALL BLVD STE D
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City | GALVESTON
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State | TX
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Zip | 77551-6011
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Country | US
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Telephone | 409-995-7669
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 SANTIAGO LN
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City | LEAGUE CITY
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State | TX
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Zip | 77573-1518
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Country | US
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Telephone | 409-995-7669
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Fax |
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Authorized Official
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Title or Position | LPC/OWNER
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Name | ANGELICA RAMOS
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Credential | LPC
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Telephone | 409-995-7669
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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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