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General NPI Number Information
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NPI Number | 1447416763
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Entity Type | Organization
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Legal Business Name | TWO CREEKS COUNSELING, PLLC
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 5156 VILLAGE CREEK DR SUITE 550
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City | PLANO
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State | TX
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Zip | 75093-4495
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Country | US
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Telephone | 469-426-4480
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Fax | 972-735-7902
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Provider Business Mailing Address
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Address Line | 5156 VILLAGE CREEK DR SUITE 550
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City | PLANO
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State | TX
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Zip | 75093-4495
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Country | US
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Telephone | 469-426-4480
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Fax | 972-735-7902
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN LESLIE POWELL
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Credential | LCSW
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Telephone | 469-426-4480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 22031
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License Number State | TX
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