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General NPI Number Information
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NPI Number | 1710361449
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Entity Type | Organization
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Legal Business Name | A NEW STORY COUNSELING, PLLC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 5904 S COOPER ST SUITE 104-PMB 118
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City | ARLINGTON
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State | TX
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Zip | 76017-4494
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Country | US
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Telephone | 325-439-9181
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Fax |
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Provider Business Mailing Address
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Address Line | 5904 S COOPER ST SUITE 104-PMB 118
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City | ARLINGTON
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State | TX
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Zip | 76017-4494
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Country | US
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Telephone | 325-439-9181
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | KRISTIE STORY
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Credential | MA, LPC
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Telephone | 325-439-9181
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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 | 71217
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License Number State | TX
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