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General NPI Number Information
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NPI Number | 1487105011
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE PROFESSIONAL COUNSELING, PLLC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 101 W 1ST ST STE F
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City | ELGIN
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State | TX
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Zip | 78621-2659
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Country | US
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Telephone | 512-563-0192
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Fax | 512-852-4742
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Provider Business Mailing Address
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Address Line | 101 W 1ST ST STE F
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City | ELGIN
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State | TX
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Zip | 78621-2659
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Country | US
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Telephone | 512-563-0192
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Fax | 512-852-4742
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Authorized Official
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Title or Position | OWNER
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Name | STANLEY BELL
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Credential | MA, LBSW, CRC, LPC
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Telephone | 51256301929
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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 | 71886
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License Number State | TX
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