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General NPI Number Information
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NPI Number | 1790347060
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Entity Type | Organization
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Legal Business Name | SERENITY PROFESSIONAL COUNSELING, PLLC
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 1701 RIVER RUN STE 1020
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City | FORT WORTH
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State | TX
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Zip | 76107-6556
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Country | US
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Telephone | 682-265-7287
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 PASCAL WAY NONE
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City | FORT WORTH
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State | TX
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Zip | 76137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JEFFREY EDWARD JONES
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Credential |
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Telephone | 682-265-7287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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