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General NPI Number Information
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NPI Number | 1760271480
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Entity Type | Organization
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Legal Business Name | LAKE RAY HUBBARD COUNSELING, PLLC.
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 104 W KAUFMAN ST
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City | ROCKWALL
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State | TX
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Zip | 75087-3032
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Country | US
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Telephone | 972-693-4293
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Fax | 972-692-5427
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Provider Business Mailing Address
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Address Line | 8001 LAKE BEND DR
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City | ROWLETT
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State | TX
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Zip | 75088-8910
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Country | US
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Telephone | 972-693-4293
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Fax | 972-693-4293
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Authorized Official
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Title or Position | OWNER / THERAPIST
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Name | DR. DAWN RACHEL FLORAN
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Credential | PHD, LPC - S
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Telephone | 972-693-4293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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