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General NPI Number Information
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NPI Number | 1225652860
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Entity Type | Organization
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Legal Business Name | FACE IT COUNSELING & TRAINING CENTER, PLLC
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 10440 N CENTRAL EXPY UNIT 833
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City | DALLAS
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State | TX
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Zip | 75231-2221
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Country | US
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Telephone | 214-702-6782
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Fax |
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Provider Business Mailing Address
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Address Line | 6958 HUNNICUT CT
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City | DALLAS
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State | TX
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Zip | 75227-2943
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Country | US
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Telephone | 214-336-5566
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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. FELICIA LYNETTE MATTHEW
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Credential | LPC
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Telephone | 214-336-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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