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General NPI Number Information
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NPI Number | 1306497276
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Entity Type | Organization
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Legal Business Name | JOYFUL RESTORATION COUNSELING, PLLC
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 2214 EMERY ST STE 530
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City | DENTON
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State | TX
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Zip | 76201-2478
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Country | US
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Telephone | 940-465-6604
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Fax |
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Provider Business Mailing Address
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Address Line | 3447 MCREYNOLDS RD
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City | SANGER
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State | TX
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Zip | 76266-5776
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Country | US
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Telephone | 940-465-6604
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/PRESIDENT
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Name | BILLIE BAKER
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Credential | LCDC, LPC
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Telephone | 940-465-6604
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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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