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General NPI Number Information
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NPI Number | 1740803196
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Entity Type | Organization
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Legal Business Name | THE HOPE HOLDERS COUNSELING SERVICES
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 4200 SPANISH BIT NE APT B105
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-4269
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Country | US
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Telephone | 575-363-8814
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Fax |
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Provider Business Mailing Address
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Address Line | 12231 ACADEMY NE UNITL 301, #215 #215
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City | ALBUQUERQUE
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State | NM
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Zip | 87111
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Country | US
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Telephone | 575-363-8814
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSLYN K PURSLEY
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Credential | LPCC, MS
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Telephone | 575-363-8814
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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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