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General NPI Number Information
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NPI Number | 1255296455
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Entity Type | Individual
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Provider Name | KACIE HENSON LPC
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 3200 RIVERFRONT DR STE 108
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City | FORT WORTH
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State | TX
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Zip | 76107-6560
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Country | US
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Telephone | 817-887-9505
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Fax |
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Provider Business Mailing Address
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Address Line | 1764 HILLTOP CIR
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City | RIVER OAKS
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State | TX
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Zip | 76114-2112
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Country | US
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Telephone | 972-365-3262
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 94411
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License Number State | TX
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