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General NPI Number Information
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NPI Number | 1184305773
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Entity Type | Organization
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Legal Business Name | RAY OF HOPE COUNSELING PLLC
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 2911 TURTLE CREEK BLVD STE 300
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City | DALLAS
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State | TX
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Zip | 75219-6243
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Country | US
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Telephone | 817-614-6254
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Fax |
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Provider Business Mailing Address
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Address Line | 3408 WILLOW LN
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City | BEDFORD
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State | TX
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Zip | 76021-2828
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Country | US
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Telephone | 817-614-6254
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Fax |
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Authorized Official
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Title or Position | LPC/COUNSELOR
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Name | KRISTINA ELISABETH SMITH
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Credential | LPC
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Telephone | 817-614-6254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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