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General NPI Number Information
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NPI Number | 1730547118
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Entity Type | Organization
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Legal Business Name | COURAGE & HOPE COUNSELING
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 9500 RAY WHITE RD SUITE 210
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City | FORT WORTH
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State | TX
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Zip | 76244-6000
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Country | US
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Telephone | 817-993-9882
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 RAY WHITE RD SUITE 210
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City | FORT WORTH
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State | TX
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Zip | 76244-6000
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Country | US
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Telephone | 817-993-9882
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. NAOMI SCOTT
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Credential | MA, LPC
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Telephone | 817-993-9882
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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 | 73704
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License Number State | TX
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