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General NPI Number Information
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NPI Number | 1124742374
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Entity Type | Organization
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Legal Business Name | YSP: YOUR SAFE PLACE COUNSELING & CONSULTING PLLC
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 4215 MONTICELLO TER LN
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City | KATY
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State | TX
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Zip | 77449-1880
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Country | US
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Telephone | 713-818-5793
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Fax | 713-383-6416
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Provider Business Mailing Address
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Address Line | 4215 MONTICELLO TER LN
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City | KATY
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State | TX
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Zip | 77449-1880
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Country | US
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Telephone | 713-818-5793
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MS. DALESHIA LASHA HULETT
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Credential | LPC LCDC
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Telephone | 713-818-5793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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