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General NPI Number Information
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NPI Number | 1194594853
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Entity Type | Organization
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Legal Business Name | MENTAL BREAK COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 13810 CHAMPION FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77069-1844
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Country | US
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Telephone | 713-653-4461
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Fax |
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Provider Business Mailing Address
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Address Line | 13810 CHAMPION FOREST DR STE 150
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City | HOUSTON
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State | TX
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Zip | 77069-1883
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Country | US
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Telephone | 713-653-4461
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Fax |
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Authorized Official
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Title or Position | LPC-
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Name | NANCIA KING
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Credential |
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Telephone | 713-653-4461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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