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General NPI Number Information
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NPI Number | 1124836259
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Entity Type | Organization
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Legal Business Name | PASSIONATE PATH COUNSELING, PLLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 3000 WESLAYAN ST STE 265
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City | HOUSTON
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State | TX
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Zip | 77027-5751
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Country | US
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Telephone | 346-521-5748
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 450272
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City | HOUSTON
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State | TX
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Zip | 77245-0272
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Country | US
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Telephone | 281-728-2456
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | DR. ALICIA MOORE
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Credential | LPC-S
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Telephone | 281-728-2456
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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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