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General NPI Number Information
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NPI Number | 1588466403
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Entity Type | Organization
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Legal Business Name | CENTER FOR HOPE COUNSELING
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 4460 CAROLINA ST
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-3439
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Country | US
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Telephone | 916-750-5295
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 542481
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-2481
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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 | LICENSED PROFESSIONAL COUNSELOR
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Name | DEIDRA-ANN LEIBA MASESE
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Credential | LPC-S
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Telephone | 916-750-5295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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