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General NPI Number Information
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NPI Number | 1427823277
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Entity Type | Organization
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Legal Business Name | LIVING STONES COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 10190 KATY FWY STE 555E
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City | HOUSTON
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State | TX
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Zip | 77043-5236
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Country | US
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Telephone | 346-291-3515
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Fax |
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Provider Business Mailing Address
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Address Line | 10190 KATY FWY STE 555E
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City | HOUSTON
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State | TX
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Zip | 77043-5236
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Country | US
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Telephone | 346-291-3515
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Fax |
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Authorized Official
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Title or Position | OWNER/ DIRECTOR OF OPERATIONS
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Name | MARCELINA MICHELL WASHINGTON
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Credential | LPC, LCDC, NCC, DMHC
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Telephone | 346-291-3515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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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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