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General NPI Number Information
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NPI Number | 1386170686
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Entity Type | Organization
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Legal Business Name | ALTUS COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 8777 W RAYFORD RD SUITE 105
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City | SPRING
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State | TX
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Zip | 77389-5192
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Country | US
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Telephone | 713-380-0859
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Fax | 832-476-1983
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Provider Business Mailing Address
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Address Line | 8777 W RAYFORD RD SUITE 105
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City | SPRING
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State | TX
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Zip | 77389-5192
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Country | US
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Telephone | 713-380-0859
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Fax | 832-476-1983
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT E BENSON
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Credential | LPC-S
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Telephone | 713-380-0859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 66286
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License Number State | TX
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