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General NPI Number Information
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NPI Number | 1659052504
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Entity Type | Organization
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Legal Business Name | LIVE YOUR LIFE COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 241 PENNINGTON RD
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City | ABILENE
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State | TX
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Zip | 79602-6345
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Country | US
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Telephone | 325-386-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 2438 INDUSTRIAL BLVD # 1043
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City | ABILENE
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State | TX
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Zip | 79605-7207
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Country | US
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Telephone | 325-386-4770
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. RYAN PATRICK JUDICE
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Credential | LPC
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Telephone | 325-386-4770
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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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