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General NPI Number Information
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NPI Number | 1336813138
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Entity Type | Organization
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Legal Business Name | R.E.S.T COUNSELING SERVICES
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 525 WOODLAND SQUARE BLVD STE 250
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City | CONROE
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State | TX
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Zip | 77384-2212
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Country | US
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Telephone | 936-529-4745
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Fax |
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Provider Business Mailing Address
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Address Line | 525 WOODLAND SQUARE BLVD STE 250
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City | CONROE
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State | TX
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Zip | 77384-2212
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Country | US
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Telephone | 936-529-4745
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DORIS FEROW MIMS
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Credential |
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Telephone | 936-529-4745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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