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General NPI Number Information
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NPI Number | 1396395554
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Entity Type | Organization
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Legal Business Name | BRANDI G. MENARD COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 700 CHERRY ST
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City | GRAHAM
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State | TX
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Zip | 76450-3132
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Country | US
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Telephone | 940-256-4266
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Fax |
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Provider Business Mailing Address
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Address Line | 700 CHERRY ST
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City | GRAHAM
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State | TX
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Zip | 76450-3132
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Country | US
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Telephone | 940-256-4266
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | BRANDI GOBLE MENARD
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Credential | LPC
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Telephone | 254-327-1040
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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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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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