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General NPI Number Information
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NPI Number | 1447894290
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Entity Type | Organization
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Legal Business Name | NARRATIONS OF LIFE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 507 N 8TH ST
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City | KILLEEN
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State | TX
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Zip | 76541-4867
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Country | US
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Telephone | 254-523-6710
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Fax |
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Provider Business Mailing Address
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Address Line | 2904 E STAN SCHLUETER LOOP # 68
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City | KILLEEN
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State | TX
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Zip | 76542-4813
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Country | US
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Telephone | 254-523-6710
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Fax |
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Authorized Official
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Title or Position | LPC/OWNER
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Name | MRS. LATISHA DENISE WILSON
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Credential | LPC
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Telephone | 254-523-6710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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