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General NPI Number Information
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NPI Number | 1467222406
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Entity Type | Organization
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Legal Business Name | LIVEWELL COUNSELING OF DENTON PLLC
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 1405 N ELM ST
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City | DENTON
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State | TX
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Zip | 76201-3089
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Country | US
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Telephone | 940-260-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 N ELM ST
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City | DENTON
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State | TX
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Zip | 76201-3089
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Country | US
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Telephone | 940-260-0011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELENA ORNELAS AYRES
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Credential |
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Telephone | 940-260-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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