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General NPI Number Information
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NPI Number | 1720517246
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Entity Type | Organization
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Legal Business Name | COMMUNITY STRONG COUNSELING LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 1303 W GORE BLVD STE 3
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City | LAWTON
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State | OK
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Zip | 73501-3666
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Country | US
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Telephone | 580-699-3399
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12295
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City | OKLAHOMA CITY
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State | OK
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Zip | 73157-2295
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DAVID E WILLIAMS
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Credential | LADC, LMFT
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Telephone | 580-699-3399
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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 |
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License Number State | OK
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