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General NPI Number Information
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NPI Number | 1285395301
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Entity Type | Organization
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Legal Business Name | MELIOR COUNSELING PLLC
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Dates
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Enumeration Date | 01/02/2022
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Last Update Date | 01/02/2022
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Provider Practice Location Address
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Address Line | 5341 BRENTLAWN DR
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City | FORT WORTH
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State | TX
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Zip | 76179-5506
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Country | US
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Telephone | 682-757-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BELMONT ST UNIT 79493
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City | SAGINAW
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State | TX
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Zip | 76179-7925
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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 | CHIEF EXECUTIVE OFFICER
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Name | CATRISKA CANDICE RUCKER
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Credential | LCSW
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Telephone | 682-757-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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