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General NPI Number Information
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NPI Number | 1598301715
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Entity Type | Organization
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Legal Business Name | CONCIERGE COUNSELING AND WELLNESS, LLC
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 7332 SW FREEWAY #2010
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 832-942-8078
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Fax | 713-434-1413
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Provider Business Mailing Address
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Address Line | 5233 BELLAIRE BLVD # 343
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City | BELLAIRE
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State | TX
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Zip | 77401-3901
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Country | US
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Telephone | 832-942-8078
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Fax | 713-434-1413
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Authorized Official
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Title or Position | MEMBER MANAGER OWNER
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Name | MS. MICHELLE KING
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Credential | JD, LPC-S
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Telephone | 832-942-8078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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