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General NPI Number Information
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NPI Number | 1780532077
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Entity Type | Individual
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Provider Name | AMANDA DANYELLE BRUNSON MA, LPC-S
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Gender | Female
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 2803 CENTRAL ST STE 100
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City | MELISSA
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State | TX
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Zip | 75454-9974
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Country | US
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Telephone | 972-265-9150
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Fax |
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Provider Business Mailing Address
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Address Line | 124 PRIVATE ROAD 1198
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City | GREENVILLE
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State | TX
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Zip | 75401-8041
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Country | US
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Telephone | 281-636-4567
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 73155
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License Number State | TX
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