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General NPI Number Information
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NPI Number | 1790276558
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Entity Type | Organization
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Legal Business Name | ZEN COUNSELING, PLLC
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Dates
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Enumeration Date | 05/28/2018
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Last Update Date | 01/31/2021
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Provider Practice Location Address
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Address Line | 4425 PLANO PKWY STE 701
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City | CARROLLTON
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State | TX
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Zip | 75010-6345
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Country | US
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Telephone | 972-357-6387
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 PLANO PKWY STE 701
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City | CARROLLTON
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State | TX
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Zip | 75010-1491
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Country | US
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Telephone | 972-357-6387
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | DIMPLE SHAH RAJA
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Credential | LPC
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Telephone | 972-357-6387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 72870
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License Number State | TX
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