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General NPI Number Information
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NPI Number | 1760348924
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Entity Type | Organization
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Legal Business Name | INNER HEALING COUNSELING AND MEDIATION PLLC
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Dates
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Enumeration Date | 01/01/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 5560 FM 1640 RD # 932
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City | RICHMOND
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State | TX
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Zip | 77469-5424
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Country | US
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Telephone | 808-620-5267
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 932
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City | RICHMOND
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State | TX
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Zip | 77406-0024
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Country | US
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Telephone | 808-620-5267
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GABRIELA ALEJANDRA GONZALEZ-GREEN
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Credential | LPC
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Telephone | 808-620-5267
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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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