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General NPI Number Information
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NPI Number | 1164125134
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Entity Type | Organization
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Legal Business Name | LIFE REFLECTIONS COUNSELING, LLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 5 GROGANS PARK DR STE 112
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City | SPRING
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State | TX
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Zip | 77380-2191
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Country | US
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Telephone | 832-928-4583
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Fax |
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Provider Business Mailing Address
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Address Line | 10 GRAND VISTA PL
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1677
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Country | US
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Telephone | 832-928-4583
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Fax | 281-404-1742
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. STEVEN HORN
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Credential |
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Telephone | 832-919-7550
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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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