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General NPI Number Information
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NPI Number | 1558155762
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Entity Type | Organization
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Legal Business Name | LIVE YOUR BEST LIFE COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 290 DAVE TRL
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City | PROSPER
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State | TX
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Zip | 75078-8578
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Country | US
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Telephone | 682-738-4128
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Fax |
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Provider Business Mailing Address
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Address Line | 8751 COLLIN MCKINNEY PKWY STE 1102
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City | MCKINNEY
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State | TX
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Zip | 75070-1872
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | STEPHANIE FAZIO
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Credential |
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Telephone | 682-738-4128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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