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General NPI Number Information
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NPI Number | 1720535693
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Entity Type | Organization
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Legal Business Name | ELITE COUNSELING SERVICES,PC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 2616 S LOOP W STE 550
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City | HOUSTON
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State | TX
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Zip | 77054-2762
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Country | US
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Telephone | 713-487-6165
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Fax | 832-447-9155
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Provider Business Mailing Address
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Address Line | 2616 S LOOP W STE 550
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City | HOUSTON
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State | TX
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Zip | 77054-2762
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Country | US
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Telephone | 713-487-6165
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Fax | 832-447-9155
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Authorized Official
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Title or Position | OWENER/THERAPIST
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Name | PORSCHA LAWSON
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Credential | LPC
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Telephone | 713-487-6165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 63943
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License Number State | TX
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