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General NPI Number Information
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NPI Number | 1437197910
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Entity Type | Organization
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Legal Business Name | ACHOR COUNSELING AND ASSOCIATES LLC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 CYPRESS STATION DR STE 113
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City | HOUSTON
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State | TX
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Zip | 77090-1626
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Country | US
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Telephone | 713-668-0040
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Fax | 281-288-8481
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Provider Business Mailing Address
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Address Line | PO BOX 2808
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City | SPRING
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State | TX
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Zip | 77383-2808
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Country | US
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Telephone | 713-668-0040
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Fax | 281-288-8481
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MELLONIE ELIZABETH BALDWIN
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Credential | MA.,LPC
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Telephone | 713-668-0040
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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 | 18119
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License Number State | TX
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