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General NPI Number Information
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NPI Number | 1790104867
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Entity Type | Organization
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Legal Business Name | POSITIVE FRAME OF MIND COUNSELING PLLC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 2304 MIDWESTERN PKWY STE. 103A
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2342
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Country | US
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Telephone | 940-613-1661
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Fax | 940-691-1582
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Provider Business Mailing Address
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Address Line | 2304 MIDWESTERN PKWY STE. 103A
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2342
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Country | US
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Telephone | 940-613-1661
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Fax | 940-691-1582
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Authorized Official
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Title or Position | COUNSELOR
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Name | MICHELLE HALL
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Credential | M. ED., LPC-S
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Telephone | 940-613-1661
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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 | 62837
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License Number State | TX
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