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General NPI Number Information
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NPI Number | 1679006456
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Entity Type | Organization
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Legal Business Name | RISE COUNSELING PLLC
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 8008 SLIDE RD STE 31
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City | LUBBOCK
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State | TX
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Zip | 79424-2828
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Country | US
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Telephone | 806-300-0898
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Fax |
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Provider Business Mailing Address
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Address Line | 8008 SLIDE RD STE 31
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City | LUBBOCK
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State | TX
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Zip | 79424-2828
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Country | US
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Telephone | 806-300-0898
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/LMFT
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Name | APRIL GAMBLE
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Credential | LMFT
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Telephone | 806-773-2545
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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 | 68178
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 5139
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62704
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License Number State | TX
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