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General NPI Number Information
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NPI Number | 1568958189
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Entity Type | Organization
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Legal Business Name | LIGHT OF HOPE COUNSELING AND CONSULTATION
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 01/28/2023
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Provider Practice Location Address
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Address Line | 12333 SOWDEN RD STE B PMB 43742
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City | HOUSTON
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State | TX
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Zip | 77080-2059
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Country | US
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Telephone | 832-953-5473
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Fax | 713-554-2057
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Provider Business Mailing Address
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Address Line | 13731 MCKINNEY CREEK LN
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City | HOUSTON
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State | TX
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Zip | 77044-1058
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Country | US
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Telephone | 832-953-5473
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Fax |
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Authorized Official
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Title or Position | OWNER/PROFESSIONAL COUNSELOR
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Name | MRS. SYLVIA E BOYD
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Credential | LPC
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Telephone | 832-978-6986
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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 | 69047
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License Number State |
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Taxonomy #2
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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 | 69047
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 69047
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License Number State | TX
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Taxonomy #4
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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 | 69047
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 69047
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License Number State |
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