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General NPI Number Information
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NPI Number | 1548632037
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Entity Type | Organization
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Legal Business Name | HENRY MENDEZ COUNSELOR PLLC
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 1420-A W. EXCHANGE PKWY. SUITE 140
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City | ALLEN
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State | TX
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Zip | 75013
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Country | US
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Telephone | 214-556-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 1420-A W. EXCHANGE PKWY. SUITE 140
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City | ALLEN
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State | TX
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Zip | 75013
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Country | US
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Telephone | 214-556-7991
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HENRY J MENDEZ
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Credential | LPC
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Telephone | 214-556-7991
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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 | 69516
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License Number State | TX
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