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NPI 1821554023

NPI 1821554023 : HM COUNSELING SERVICES SOUTH, PLLC : TEMPLE, TX

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General NPI Number Information
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    NPI Number           |    1821554023
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    Entity Type          |    Organization 
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    Legal Business Name  |    HM COUNSELING SERVICES SOUTH, PLLC 
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Dates
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    Enumeration Date     |    02/13/2019
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    Last Update Date     |    02/18/2019
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Provider Practice Location Address
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    Address Line         |    3809 S GENERAL BRUCE DR # 103335 
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    City                 |    TEMPLE
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    State                |    TX
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    Zip                  |    76502-1035
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    Country              |    US
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    Telephone            |    254-845-7658
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3809 S GENERAL BRUCE DR # 103335 
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    City                 |    TEMPLE
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    State                |    TX
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    Zip                  |    76502-1035
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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/THERAPIST
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    Name                 |     RACHEL FONTELLA FIRNENO 
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    Credential           |    LPC
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    Telephone            |    254-845-7658
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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       |    
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    License Number State |    
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