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General NPI Number Information
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NPI Number | 1649049834
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Entity Type | Organization
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Legal Business Name | GUIDED PURPOSE COUNSELING, PLLC
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 6115 CAMP BOWIE BLVD STE 298
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City | FORT WORTH
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State | TX
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Zip | 76116-5508
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Country | US
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Telephone | 682-238-0202
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Fax |
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Provider Business Mailing Address
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Address Line | 6115 CAMP BOWIE BLVD STE 298
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City | FORT WORTH
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State | TX
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Zip | 76116-5508
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Country | US
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Telephone | 682-238-0202
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | SHANELLE PEOPLES-LAMBERT
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Credential | LPC-S, NCC, MAC, SAP
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Telephone | 682-238-0202
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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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