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General NPI Number Information
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NPI Number | 1780059246
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Entity Type | Organization
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Legal Business Name | MEADOWBROOK COUNSELING CENTER
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 3418 OLSEN BLVD STE E
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City | AMARILLO
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State | TX
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Zip | 79109-3074
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Country | US
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Telephone | 806-433-0257
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Fax | 877-795-7313
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Provider Business Mailing Address
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Address Line | 3418 OLSEN BLVD STE E
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City | AMARILLO
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State | TX
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Zip | 79109-3074
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Country | US
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Telephone | 806-433-0257
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Fax | 877-795-7313
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MAXINE WESTMORELAND
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Credential | LPC, LCDC, DCC
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Telephone | 806-433-0257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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