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General NPI Number Information
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NPI Number | 1689153041
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Entity Type | Organization
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Legal Business Name | HAVELKA COUNSELING, PLLC
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 621 N MAIN ST STE 425
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City | GRAPEVINE
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State | TX
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Zip | 76051-9216
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Country | US
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Telephone | 469-281-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 1128 TIMBERLAKE LN
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City | LEWISVILLE
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State | TX
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Zip | 75067-5436
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Country | US
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Telephone | 214-724-3571
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MEGGAN HAVELKA
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Credential | LPC-S, NCC
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Telephone | 214-724-3571
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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 | 18540
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License Number State | TX
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