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General NPI Number Information
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NPI Number | 1205199254
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Entity Type | Organization
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Legal Business Name | FAMILY HOPE HOUSE, PLLC
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 8906 E SKELLY DR STE C
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City | TULSA
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State | OK
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Zip | 74129-3400
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Country | US
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Telephone | 918-381-5927
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Fax |
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Provider Business Mailing Address
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Address Line | 8906 E SKELLY DR STE C
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City | TULSA
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State | OK
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Zip | 74129-3400
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Country | US
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Telephone | 918-381-5927
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/THERAPIST
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Name | MRS. KRISTEN MICHELE HALE
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Credential | LPC
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Telephone | 918-381-5927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4606
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License Number State | OK
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