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General NPI Number Information
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NPI Number | 1508223884
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Entity Type | Organization
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Legal Business Name | URBAN COUNSELING CLIQUE
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Dates
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Enumeration Date | 01/18/2016
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Last Update Date | 01/18/2016
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Provider Practice Location Address
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Address Line | 8330 LBJ FWY STE 621
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City | DALLAS
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State | TX
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Zip | 75243-1281
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Country | US
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Telephone | 972-914-8705
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Fax | 972-476-1077
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Provider Business Mailing Address
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Address Line | 4606 OAKWOOD DR
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City | GARLAND
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State | TX
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Zip | 75043-3340
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Country | US
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Telephone | 972-480-4351
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Fax | 972-476-1077
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Authorized Official
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Title or Position | LPC
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Name | MS. APRIL NICOLE GIVENS
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Credential | MS
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Telephone | 972-480-4351
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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 | 69005
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License Number State | TX
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