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NPI 1235723826

NPI 1235723826 : FAITH AND GRACE COUNSELING SERVICES PLLC : TOMBALL, TX

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General NPI Number Information
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    NPI Number           |    1235723826
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAITH AND GRACE COUNSELING SERVICES PLLC 
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Dates
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    Enumeration Date     |    02/24/2021
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    Last Update Date     |    02/24/2021
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Provider Practice Location Address
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    Address Line         |    21414 CHESTNUT ROSE RD 
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    City                 |    TOMBALL
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    State                |    TX
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    Zip                  |    77377-2490
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    Country              |    US
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    Telephone            |    762-233-5463
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9212 FRY RD # 224 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77433-5488
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    Country              |    US
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    Telephone            |    762-233-5463
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHARIE  SCOTT 
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    Credential           |    
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    Telephone            |    762-233-5463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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