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General NPI Number Information
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NPI Number | 1730684440
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Entity Type | Organization
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Legal Business Name | SOLUTIONS FOR HEALING COUNSELING AND CONSULTIING, PLLC
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 1106 SANTA FE TRL STE 2
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City | DUNCANVILLE
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State | TX
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Zip | 75137-3063
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Country | US
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Telephone | 210-387-3854
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Fax | 469-513-2711
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Provider Business Mailing Address
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Address Line | 1106 SANTA FE TRL STE 2
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City | DUNCANVILLE
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State | TX
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Zip | 75137-3063
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Country | US
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Telephone | 210-387-3854
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Fax | 469-513-2711
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY D. MAXEY
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Credential | PSY.D., LPC, LSOTP
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Telephone | 210-387-3854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 18085
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License Number State | TX
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