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General NPI Number Information
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NPI Number | 1700282951
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Entity Type | Organization
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Legal Business Name | OPTIMISTIC OUTLOOK COUNSELING & CONSULTING SERVICES P.L.L.C.
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 1510 N HAMPTON RD. STE 210 #1338
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City | DESOTO
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State | TX
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Zip | 75115-8301
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Country | US
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Telephone | 214-960-1536
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Fax | 800-660-2523
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Provider Business Mailing Address
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Address Line | 1510 N HAMPTON RD. STE 210 #1338
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City | DESOTO
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State | TX
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Zip | 75115-8301
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Country | US
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Telephone | 214-960-1536
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Fax | 800-660-2523
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Authorized Official
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Title or Position | OWNER/LICENSED PROFESSIONAL COUNSEL
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Name | KAIESHA LASHA FLUCAS
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Credential | MED, MS, LPC-S
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Telephone | 214-403-8934
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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 | 70148
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License Number State | TX
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