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General NPI Number Information
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NPI Number | 1275208191
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Entity Type | Organization
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Legal Business Name | ROCKWALL HEATH COUNSELING, LLC
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 6780 HORIZON RD STE 100
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City | HEATH
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State | TX
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Zip | 75032-2104
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Country | US
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Telephone | 972-961-9571
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Fax |
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Provider Business Mailing Address
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Address Line | 412 HIGHVIEW CIR
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City | ROYSE CITY
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State | TX
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Zip | 75189-8245
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Country | US
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Telephone | 972-834-9322
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Fax |
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Authorized Official
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Title or Position | OWNER/LEAD COUNSELOR
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Name | MS. ERIN CLARK KINCAID
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Credential | MA, CFLE
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Telephone | 672-961-9570
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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 |
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License Number State |
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