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General NPI Number Information
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NPI Number | 1558860650
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Entity Type | Organization
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Legal Business Name | GILES COUNSELING AND PSYCHOTHERAPY
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 5909 WEST LOOP S
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City | BELLAIRE
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State | TX
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Zip | 77401-2402
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Country | US
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Telephone | 337-258-7842
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Fax |
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Provider Business Mailing Address
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Address Line | 4734 AFTONSHIRE DR
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City | HOUSTON
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State | TX
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Zip | 77027-5402
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Country | US
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Telephone | 337-258-7842
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHLEY GILES
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Credential | LCSW
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Telephone | 337-258-7842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 64541
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License Number State | TX
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