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General NPI Number Information
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NPI Number | 1730249368
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Entity Type | Organization
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Legal Business Name | GALAXY COUNSELING CENTER
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1025 S JUPITER RD
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City | GARLAND
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State | TX
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Zip | 75042-7708
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Country | US
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Telephone | 972-272-4429
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Fax | 972-494-2812
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Provider Business Mailing Address
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Address Line | 1025 S JUPITER RD
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City | GARLAND
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State | TX
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Zip | 75042-7708
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Country | US
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Telephone | 972-272-4429
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Fax | 972-494-2812
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LYNETTE PAYNE
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Credential |
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Telephone | 972-272-4429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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