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General NPI Number Information
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NPI Number | 1760070692
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Entity Type | Organization
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Legal Business Name | HOPEFUL WATERS COUNSELING, PLLC
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 12001 W PARMER LN STE 200
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City | CEDAR PARK
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State | TX
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Zip | 78613-7764
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Country | US
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Telephone | 737-215-8655
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1863
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City | LEANDER
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State | TX
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Zip | 78646-1863
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Country | US
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Telephone | 737-215-8655
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | EARLEY R BARNES-ULLRICH
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Credential | LCSW
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Telephone | 512-587-0714
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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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