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NPI 1659701266

NPI 1659701266 : LIFE JOURNEY COUNSELING SERVICES : KINGWOOD, TX

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General NPI Number Information
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    NPI Number           |    1659701266
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIFE JOURNEY COUNSELING SERVICES 
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Dates
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    Enumeration Date     |    11/18/2013
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    Last Update Date     |    11/18/2013
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Provider Practice Location Address
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    Address Line         |    1521 GREEN OAK PL 198
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    City                 |    KINGWOOD
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    State                |    TX
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    Zip                  |    77339-2057
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    Country              |    US
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    Telephone            |    337-912-9818
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1521 GREEN OAK PL 198
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    City                 |    KINGWOOD
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    State                |    TX
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    Zip                  |    77339-2057
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    Country              |    US
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    Telephone            |    337-912-9818
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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                 |    DR. BRITTNE  MURRAY 
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    Credential           |    PHD, LPC
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    Telephone            |    337-912-9818
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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       |    4026
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    71635
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    License Number State |    TX
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