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General NPI Number Information
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NPI Number | 1730789819
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Entity Type | Individual
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Provider Name | HAYLEE ANN FURLOW M.A., LPC
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 412 W PHILLIPS ST STE 122A
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City | CONROE
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State | TX
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Zip | 77301-2887
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Country | US
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Telephone | 832-307-3853
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Fax |
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Provider Business Mailing Address
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Address Line | 10491 ROYAL MAGNOLIA DR
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City | CONROE
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State | TX
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Zip | 77303-2752
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Country | US
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Telephone | 832-401-3407
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 81340
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License Number State | TX
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