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General NPI Number Information
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NPI Number | 1467157032
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Entity Type | Organization
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Legal Business Name | ELEMENT COUNSELING
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 401 N MAIN ST APT 2309
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City | FORT WORTH
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State | TX
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Zip | 76164-9520
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Country | US
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Telephone | 682-553-4094
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Fax |
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Provider Business Mailing Address
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Address Line | 3041 AMBER LN
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-3623
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Country | US
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Telephone | 682-553-4094
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Fax | 440-690-0343
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Authorized Official
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Title or Position | CEO
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Name | STEPHANIE BROOKE MILLER
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Credential |
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Telephone | 682-553-4094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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