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General NPI Number Information
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NPI Number | 1780483032
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Entity Type | Organization
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Legal Business Name | WISE FAITH COUNSELING, PLLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 710 LANGHAM RD
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City | BEAUMONT
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State | TX
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Zip | 77707-3407
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Country | US
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Telephone | 409-291-6076
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Fax |
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Provider Business Mailing Address
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Address Line | 710 LANGHAM RD
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City | BEAUMONT
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State | TX
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Zip | 77707-3407
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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 | LICENSED PROFESSIONAL COUNSELOR
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Name | SAGE YOUNG
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Credential | LPC
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Telephone | 832-972-9473
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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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