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General NPI Number Information
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NPI Number | 1669945192
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Entity Type | Organization
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Legal Business Name | PERSHA COUNSELING, PLLC
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 14760 MEMORIAL DR STE 107
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City | HOUSTON
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State | TX
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Zip | 77079-5230
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Country | US
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Telephone | 713-364-8645
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Fax |
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Provider Business Mailing Address
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Address Line | 2514 MONARCH TERRACE DR
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City | KATY
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State | TX
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Zip | 77494-0669
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Country | US
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Telephone | 713-364-8645
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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 | BRITTANI PERSHA
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Credential | LCSW-S
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Telephone | 713-364-8645
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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