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General NPI Number Information
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NPI Number | 1811696131
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Entity Type | Organization
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Legal Business Name | SAME TIME NEXT WEEK COUNSELING & CONSULTATION
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 3509 HULEN ST STE 107
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City | FORT WORTH
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State | TX
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Zip | 76107-6834
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Country | US
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Telephone | 682-245-1935
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Fax |
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Provider Business Mailing Address
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Address Line | 3509 HULEN ST STE 107
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City | FORT WORTH
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State | TX
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Zip | 76107-6834
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Country | US
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Telephone | 817-382-7130
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Fax | 817-635-0804
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Authorized Official
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Title or Position | CO-OWNER
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Name | JADE ALLYN DACUS
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Credential | MS, LPC, NCC
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Telephone | 817-965-2825
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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