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General NPI Number Information
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NPI Number | 1538755020
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Entity Type | Individual
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Provider Name | LAVITA DIANNE RINCHELLE JONES LCSW-S, CCTP II
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Gender | Female
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 609 S GOLIAD ST UNIT 301
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City | ROCKWALL
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State | TX
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Zip | 75087-1912
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Country | US
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Telephone | 469-338-2338
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Fax | 855-795-1942
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Provider Business Mailing Address
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Address Line | 609 S GOLIAD ST UNIT 301
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City | ROCKWALL
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State | TX
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Zip | 75087-1912
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Country | US
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Telephone | 469-338-2338
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Fax | 855-795-1942
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 104242
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License Number State | CA
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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 | 24958
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 104242
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | TPSW1951
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | TPSW1591
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 104242
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 104242
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 24958
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 24958
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 24958
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 24958
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License Number State | TX
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