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General NPI Number Information
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NPI Number | 1750024212
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Entity Type | Organization
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Legal Business Name | VIBRANT JOURNEY COUNSELING PLLC
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 817-403-0715
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 W IRVING BLVD # 155071
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City | IRVING
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State | TX
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Zip | 75061-4234
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Country | US
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Telephone | 940-202-9005
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Fax |
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Authorized Official
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Title or Position | OWNER & LICENSED PROFESSIONAL COUNS
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Name | MRS. ASHLEY HUBBARD
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Credential | MS, NCC, LPC, LMHC
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Telephone | 940-202-9005
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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 |
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License Number State |
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