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General NPI Number Information
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NPI Number | 1811401003
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Entity Type | Organization
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Legal Business Name | ATHENA COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 11/27/2017
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 10300 N CENTRAL EXPY STE 286
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City | DALLAS
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State | TX
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Zip | 75231-2258
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Country | US
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Telephone | 214-732-2067
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Fax | 888-314-0299
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Provider Business Mailing Address
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Address Line | 10300 N CENTRAL EXPY STE 286
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City | DALLAS
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State | TX
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Zip | 75231-2258
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Country | US
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Telephone | 214-732-2067
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Fax | 888-314-0299
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KIMBERLY ANN WHITNEY
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Credential | LCSW
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Telephone | 214-732-2067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 59508
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License Number State | TX
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