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General NPI Number Information
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NPI Number | 1447432232
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Entity Type | Organization
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Legal Business Name | VILLAGE COUNSELING SERVICES
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 5311 KIRBY DRIVE SUITE 204
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City | HOUSTON
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State | TX
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Zip | 77005-1339
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Country | US
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Telephone | 713-533-9811
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Fax | 832-201-8679
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Provider Business Mailing Address
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Address Line | 5311 KIRBY DRIVE SUITE 204
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City | HOUSTON
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State | TX
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Zip | 77005-1339
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Country | US
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Telephone | 713-533-9811
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Fax | 832-201-8679
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Authorized Official
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Title or Position | OWNER / COUNSELOR
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Name | MRS. NANCY BAKER-BROWN
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Credential | MS, LPC
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Telephone | 713-533-9811
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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 | 18025
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License Number State | TX
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