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General NPI Number Information
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NPI Number | 1366278020
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Entity Type | Organization
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Legal Business Name | P.O.W.E.R. (PROVIDING OTHERS WITH ESSENTIAL RESOURCES), PLLC
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 4229 HUNT DR APT 4006
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City | CARROLLTON
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State | TX
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Zip | 75010-3262
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Country | US
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Telephone | 662-931-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 4949 PRINTERS WAY APT 371
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City | FRISCO
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State | TX
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Zip | 75033-3637
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Country | US
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Telephone | 682-561-2343
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/ THERAPIST
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Name | LANEE DEJOHNETTE
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Credential | LCSW
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Telephone | 662-931-4642
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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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Taxonomy #2
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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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