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General NPI Number Information
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NPI Number | 1245743962
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Entity Type | Organization
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Legal Business Name | RESTORATIVE HOPE SANCTUARY
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 4201 W STAN SCHLUETER LOOP STE F
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City | KILLEEN
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State | TX
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Zip | 76549-4783
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Country | US
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Telephone | 254-987-0405
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 W STAN SCHLUETER LOOP STE F
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City | KILLEEN
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State | TX
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Zip | 76549-4783
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Country | US
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Telephone | 254-987-0405
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JO HARRISON
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Credential | LPC
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Telephone | 254-987-0405
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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 |
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License Number State | TX
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