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General NPI Number Information
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NPI Number | 1811569007
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Entity Type | Organization
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Legal Business Name | ASCENSION MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 4425 PLANO PKWY STE 602
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City | CARROLLTON
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State | TX
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Zip | 75010-5030
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Country | US
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Telephone | 469-885-1981
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 EARLY MORN DR
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City | PLANO
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State | TX
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Zip | 75093-3908
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Country | US
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Telephone | 469-885-1981
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IPEK ISIKLI
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Credential | LMFT, LCDC
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Telephone | 469-885-1981
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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 |
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License Number State |
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