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NPI 1780478750

NPI 1780478750 : ANGELA BELTON LPC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1780478750
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA BELTON LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/07/2025
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    Last Update Date     |    04/07/2025
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Provider Practice Location Address
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    Address Line         |    5440 HARVEST HILL RD STE 140 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75230-1605
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    Country              |    US
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    Telephone            |    214-236-1867
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1668 
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    City                 |    DESOTO
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    State                |    TX
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    Zip                  |    75123-1668
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    66962
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    License Number State |    TX
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