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General NPI Number Information
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NPI Number | 1487175360
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Entity Type | Organization
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Legal Business Name | MEMORIAL RELATIONSHIPS & COUPLES CENTER, PLLC.
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 955 DAIRY ASHFORD RD SUITE 108
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City | HOUSTON
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State | TX
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Zip | 77079
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Country | US
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Telephone | 832-407-0487
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Fax | 832-243-4585
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Provider Business Mailing Address
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Address Line | 955 DAIRY ASHFORD RD SUITE 108
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City | HOUSTON
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State | TX
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Zip | 77079
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Country | US
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Telephone | 832-407-0487
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Fax | 832-243-4585
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. ROCIO J. THARP
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Credential | LMFT, LPC-S
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Telephone | 832-407-0487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 65974
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 201402
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License Number State | TX
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