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General NPI Number Information
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NPI Number | 1821517731
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Entity Type | Organization
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Legal Business Name | SAGE COUNSELING, PLLC
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 1820 PRESTON PARK BLVD STE 2200
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City | PLANO
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State | TX
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Zip | 75093-3614
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Country | US
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Telephone | 972-696-9207
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Fax |
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Provider Business Mailing Address
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Address Line | 3941 LEGACY DRIVE SUITE SUITE 204 #204B
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City | PLANO
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State | TX
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Zip | 75023
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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 | OWNER
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Name | CHRISTY DOERING
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Credential |
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Telephone | 972-696-9207
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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 | 32372
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License Number State | TX
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