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General NPI Number Information
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NPI Number | 1174182307
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Entity Type | Organization
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Legal Business Name | LONE STAR COUNSELING AND WELLNESS, PLLC
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1550 NORWOOD DR STE 104
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City | HURST
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State | TX
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Zip | 76054-3601
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Country | US
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Telephone | 682-710-1501
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Fax |
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Provider Business Mailing Address
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Address Line | 6820 FALCONER WAY
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City | FORT WORTH
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State | TX
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Zip | 76179-6706
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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 | LCSW
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Name | ERIN DOW
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Credential |
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Telephone | 682-710-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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