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General NPI Number Information
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NPI Number | 1679990725
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Entity Type | Organization
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Legal Business Name | OPEN ARMS COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 911 E LUFKIN AVE
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City | LUFKIN
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State | TX
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Zip | 75901-0435
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Country | US
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Telephone | 936-699-1030
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60
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City | APPLE SPRINGS
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State | TX
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Zip | 75926-0060
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LATOYA WALKER
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Credential | LPC-S
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Telephone | 936-414-5108
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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 | 65416
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License Number State | TX
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