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General NPI Number Information
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NPI Number | 1730848060
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Entity Type | Organization
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Legal Business Name | KINGDOM COUNSELING CENTER
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 12655 WOODFOREST BLVD STE 420
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City | HOUSTON
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State | TX
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Zip | 77015-3573
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Country | US
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Telephone | 281-883-2725
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Fax |
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Provider Business Mailing Address
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Address Line | 12655 WOODFOREST BLVD STE 420
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City | HOUSTON
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State | TX
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Zip | 77015-3573
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SHERITA HEADS
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Credential |
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Telephone | 346-401-2408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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