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General NPI Number Information
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NPI Number | 1699765537
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Entity Type | Organization
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Legal Business Name | PARK TEN COUNSELING, INC.
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 16350 PARK TEN PL SUITE 100-22
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City | HOUSTON
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State | TX
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Zip | 77084-5146
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Country | US
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Telephone | 281-578-5838
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Fax |
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Provider Business Mailing Address
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Address Line | 414 GOVERNORS PLACE DR
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City | KATY
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State | TX
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Zip | 77450-1442
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Country | US
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Telephone | 281-578-5838
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/ PRESIDENT
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Name | MR. FRANK LEO SIMCIK
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Credential | M.ED.
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Telephone | 281-578-5838
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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 | 9588
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 002983-041991
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1652
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License Number State | TX
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