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General NPI Number Information
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NPI Number | 1649727272
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Entity Type | Organization
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Legal Business Name | INSIGHTS PSYCHOTHERAPY GROUP, PLLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 5255 VICKERY BOULEVARD
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City | DALLAS
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State | TX
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Zip | 75206
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Country | US
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Telephone | 214-515-0874
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Fax |
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Provider Business Mailing Address
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Address Line | 5255 VICKERY BLVD
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City | DALLAS
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State | TX
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Zip | 75206-6226
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Country | US
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Telephone | 214-515-0874
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MARY SANGER
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Credential | LPC-S, LMFT-S, LCDC
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Telephone | 214-515-0874
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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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