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General NPI Number Information
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NPI Number | 1285294256
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Entity Type | Organization
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Legal Business Name | METROPLEX MENTAL HEALTH, PLLC
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 4304 AIRPORT FWY STE 110
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City | FORT WORTH
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State | TX
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Zip | 76117-6257
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Country | US
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Telephone | 682-717-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 2315 ROOSEVELT DR STE B
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City | ARLINGTON
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State | TX
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Zip | 76016-5888
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WESLEY PARKS
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Credential | LPC, NCC
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Telephone | 682-717-1111
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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 |
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