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General NPI Number Information
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NPI Number | 1346012747
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING PLLC
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 9800 HILLWOOD PKWY STE 140
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City | FORT WORTH
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State | TX
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Zip | 76177-1532
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Country | US
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Telephone | 432-299-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 10009 WEXLEY WAY
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City | FORT WORTH
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State | TX
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Zip | 76131-1787
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Country | US
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Telephone | 432-299-0777
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TANYA S ALEXANDER
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Credential | LPC
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Telephone | 432-299-0777
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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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