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General NPI Number Information
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NPI Number | 1689437907
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Entity Type | Organization
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Legal Business Name | DYNAMIC HOPE COUNSELING SERVICES
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 6105 DENTON HWY STE 80
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City | HALTOM CITY
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State | TX
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Zip | 76148-3021
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Country | US
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Telephone | 817-654-5790
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Fax | 817-221-0588
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Provider Business Mailing Address
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Address Line | 6105 DENTON HWY STE 80
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City | HALTOM CITY
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State | TX
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Zip | 76148-3021
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Country | US
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Telephone | 817-654-5790
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGER / COUNSELOR
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Name | CHRISTINA G SMITH
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Credential | MA, LPC-S, RPT
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Telephone | 817-654-5790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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