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General NPI Number Information
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NPI Number | 1396541546
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Entity Type | Organization
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Legal Business Name | TR COUNSELING AND CONSULTING PLLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1111 N. GENERAL BRUCE DR, SUITE A
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City | TEMPLE
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State | TX
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Zip | 76504-7650
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Country | US
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Telephone | 254-598-4285
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Fax |
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Provider Business Mailing Address
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Address Line | 111 N WALL ST UNIT 492
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City | BELTON
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State | TX
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Zip | 76513
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Country | US
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Telephone | 254-598-4285
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | TAYLOR BOURLAND
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Credential |
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Telephone | 254-598-4285
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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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