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General NPI Number Information
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NPI Number | 1780713560
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Entity Type | Organization
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Legal Business Name | BREAKTHROUGH COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 1506 N GREENVILLE AVE SUITE 220
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City | ALLEN
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State | TX
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Zip | 75002-8622
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Country | US
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Telephone | 972-880-1722
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Fax | 214-295-8888
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Provider Business Mailing Address
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Address Line | 419 DEER BROOKE DR
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City | ALLEN
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State | TX
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Zip | 75002-1707
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Country | US
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Telephone | 972-880-1722
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Fax | 214-295-8888
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON BROWN
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Credential | LPC
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Telephone | 972-880-1722
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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 | 16154
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License Number State | TX
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