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General NPI Number Information
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NPI Number | 1588223127
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Entity Type | Organization
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Legal Business Name | HOPE UNBRIDLED COUNSEING LLC
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 1018 N GLOSTER ST STE F
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City | TUPELO
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State | MS
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Zip | 38804-1234
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Country | US
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Telephone | 662-540-5558
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Fax |
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Provider Business Mailing Address
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Address Line | 2639 OAKCREST DR
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City | TUPELO
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State | MS
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Zip | 38804-8003
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Country | US
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Telephone | 662-540-5558
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TERRY V TIMMONS
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Credential | LPC
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Telephone | 662-540-5558
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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 |
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License Number State |
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