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General NPI Number Information
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NPI Number | 1700276375
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Entity Type | Organization
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Legal Business Name | EPIPHANY COUNSELING SERVICES
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 901 W BARDIN RD STE 308
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City | ARLINGTON
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State | TX
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Zip | 76017-6029
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Country | US
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Telephone | 682-556-2652
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Fax | 866-546-3147
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Provider Business Mailing Address
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Address Line | 901 W BARDIN RD STE 308
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City | ARLINGTON
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State | TX
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Zip | 76017-6029
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Country | US
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Telephone | 682-556-2652
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Fax | 866-546-3147
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CASSANDRA HAYES ROWE
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Credential | LPC-S
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Telephone | 682-556-2652
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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 | 18630
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License Number State | TX
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