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General NPI Number Information
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NPI Number | 1649706672
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Entity Type | Organization
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Legal Business Name | DESIRE 2 BE YOU COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 9075 HARMONY DR
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City | MIDWEST CITY
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State | OK
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Zip | 73130-6217
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Country | US
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Telephone | 405-361-4823
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Fax |
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Provider Business Mailing Address
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Address Line | 9075 HARMONY DR
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City | MIDWEST CITY
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State | OK
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Zip | 73130-6217
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Country | US
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Telephone | 405-361-4823
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. ALICIA NICOLE MURPHY
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Credential | MHR, LPC
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Telephone | 405-361-4823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6452
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License Number State | OK
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