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NPI 1639869175

NPI 1639869175 : STEVEN HEBERT COUNSELING AGENCY, PLLC : CONROE, TX

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General NPI Number Information
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    NPI Number           |    1639869175
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEVEN HEBERT COUNSELING AGENCY, PLLC 
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Dates
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    Enumeration Date     |    05/09/2023
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    Last Update Date     |    05/09/2023
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Provider Practice Location Address
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    Address Line         |    412 W PHILLIPS ST STE 122 
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    City                 |    CONROE
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    State                |    TX
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    Zip                  |    77301-2887
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    Country              |    US
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    Telephone            |    504-358-5750
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16899 MARIE VILLAGE DR 
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    City                 |    CONROE
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    State                |    TX
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    Zip                  |    77306-2233
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    Country              |    US
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    Telephone            |    504-358-5750
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSE CLINICAL SOCIAL WORKER
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    Name                 |     CHANTELL  HEBERT 
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    Credential           |    
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    Telephone            |    504-358-5750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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