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General NPI Number Information
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NPI Number | 1811206980
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Entity Type | Organization
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Legal Business Name | MORNING LIGHT COUNSELING SERVICES
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 425 HOLDERRIETH BLVD 203
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City | TOMBALL
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State | TX
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Zip | 77375-4543
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Country | US
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Telephone | 713-614-9259
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Fax | 281-255-8007
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Provider Business Mailing Address
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Address Line | 33311 WALNUT GROVE LN
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City | MAGNOLIA
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State | TX
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Zip | 77355-4803
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Country | US
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Telephone | 713-614-9259
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Fax | 281-255-8007
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | DENISE SMITH
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Credential | LPC
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Telephone | 713-614-9259
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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 | 60737
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License Number State | TX
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