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General NPI Number Information
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NPI Number | 1205588845
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Entity Type | Organization
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Legal Business Name | TY MENTAL HEALTH CONSULTING, PLLC
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 411 HARVEST GROVE DR
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1342
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Country | US
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Telephone | 214-945-2941
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Fax |
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Provider Business Mailing Address
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Address Line | 411 HARVEST GROVE DR
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1342
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Country | US
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Telephone | 214-945-2941
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. TIFFANY YOUNG
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Credential | LPC-S
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Telephone | 214-945-2941
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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 |
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License Number State |
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