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General NPI Number Information
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NPI Number | 1780512764
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Entity Type | Organization
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Legal Business Name | GARDEN RIDGE CHRISTIAN COUNSELING
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 20209 FM 2252 BLDG 11
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2935
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Country | US
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Telephone | 210-951-0049
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Fax | 210-783-1906
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Provider Business Mailing Address
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Address Line | 20209 FM 2252 BLDG 11
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2935
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Country | US
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Telephone | 210-951-0049
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Fax | 210-783-1906
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Authorized Official
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Title or Position | OFFICE ADMIN
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Name | SAMANTHA NORIEGA
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Credential |
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Telephone | 210-391-6703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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