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General NPI Number Information
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NPI Number | 1255828596
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Entity Type | Organization
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Legal Business Name | MONARCH KIDS COUNSELING
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 2118 BIRDCREEK DR STE 100
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City | TEMPLE
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State | TX
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Zip | 76502-1020
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Country | US
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Telephone | 254-598-2266
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 81
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City | BELTON
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State | TX
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Zip | 76513-0081
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Country | US
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Telephone | 254-913-7410
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RITA CHRISTINA CORTEZ HERRERA
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Credential | LPC
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Telephone | 254-913-7410
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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 | 71984
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License Number State | TX
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