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General NPI Number Information
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NPI Number | 1205169216
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Entity Type | Organization
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Legal Business Name | NEWSTARTS, PLLC
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 1109 CHEEK SPARGER RD
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City | COLLEYVILLE
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State | TX
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Zip | 76034-4199
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Country | US
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Telephone | 817-600-7611
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Fax |
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Provider Business Mailing Address
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Address Line | 2813 OXFORD LN STE 100
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1504
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Country | US
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Telephone | 817-337-6733
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Fax |
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | CHRISTINA (TINA) JOHNSTON
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Credential | LPC, NCC
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Telephone | 817-600-7611
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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 | 62606
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License Number State | TX
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