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General NPI Number Information
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NPI Number | 1114628153
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Entity Type | Organization
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Legal Business Name | GREATER WITHIN ME COUNSELING, COACHING AND BEHAVIORAL CENTER, PLLC
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 11301 FALLBROOK DR STE 300
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City | HOUSTON
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State | TX
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Zip | 77065-4272
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Country | US
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Telephone | 281-223-3393
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Fax |
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Provider Business Mailing Address
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Address Line | 11301 FALLBROOK DR STE 300
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City | HOUSTON
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State | TX
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Zip | 77065-4272
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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 | OWNER, CEO
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Name | RHONDA HERNDON
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Credential | LPC
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Telephone | 281-223-3393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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Taxonomy #3
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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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