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General NPI Number Information
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NPI Number | 1588100424
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Entity Type | Organization
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Legal Business Name | DRAGONFLY CENTER FOR COUNSELING
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 10720 BARKER CYPRESS RD
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City | CYPRESS
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State | TX
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Zip | 77433-1372
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Country | US
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Telephone | 832-821-5819
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Fax |
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Provider Business Mailing Address
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Address Line | 10720 BARKER CYPRESS RD
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City | CYPRESS
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State | TX
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Zip | 77433-1372
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Country | US
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Telephone | 832-821-5819
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Fax |
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Authorized Official
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Title or Position | THERAPIST, OWNER
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Name | AMANDA BRINKMEYER
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Credential | LPC, NCC
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Telephone | 832-821-5819
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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 | 72195
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License Number State | TX
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