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General NPI Number Information
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NPI Number | 1437760436
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Entity Type | Organization
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Legal Business Name | MENDING HEARTS PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 801 E PLANO PKWY STE 130
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City | PLANO
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State | TX
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Zip | 75074-6859
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Country | US
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Telephone | 469-409-1117
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Fax |
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Provider Business Mailing Address
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Address Line | 801 E PLANO PKWY STE 130
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City | PLANO
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State | TX
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Zip | 75074-6859
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Country | US
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Telephone | 469-563-4561
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. FELICIA ELISE WARD
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Credential | PHD, LPC
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Telephone | 469-409-1117
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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 |
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License Number State |
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