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General NPI Number Information
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NPI Number | 1497378665
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Entity Type | Organization
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Legal Business Name | MILLENNIAL LIFE COUNSELING
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 6750 HILLCREST PLAZA DR STE 224
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City | DALLAS
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State | TX
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Zip | 75230-1441
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Country | US
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Telephone | 469-426-7234
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Fax |
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Provider Business Mailing Address
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Address Line | 829 SHERBROOK DR
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City | RICHARDSON
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State | TX
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Zip | 75080-3015
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Country | US
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Telephone | 469-426-7234
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Fax |
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Authorized Official
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Title or Position | OWNER, MANAGING MEMBER
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Name | MRS. LIZ HIGGINS
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Credential | LMFT
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Telephone | 469-426-7234
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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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