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General NPI Number Information
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NPI Number | 1184933103
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Entity Type | Organization
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Legal Business Name | MOTIVATIONAL FOUNDATIONS, INC
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Dates
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Enumeration Date | 09/26/2010
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 2150 S CENTRAL EXPY SUITE 200/234
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City | MCKINNEY
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State | TX
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Zip | 75070-4070
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Country | US
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Telephone | 817-403-3130
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 1885
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City | PILOT POINT
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State | TX
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Zip | 76258
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Country | US
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Telephone | 817-403-3130
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. DARLEEN LORTZ
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Credential | CEO, LPC, CRC, NCC
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Telephone | 817-403-3130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 61108
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61108
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 00072125
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 61108
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License Number State | TX
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