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General NPI Number Information
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NPI Number | 1821707985
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Entity Type | Organization
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Legal Business Name | M.I.M COUNSELING & ASSOCIATES
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 8035 E R L THORNTON FWY STE 243
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City | DALLAS
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State | TX
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Zip | 75228-7082
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Country | US
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Telephone | 214-272-8889
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Fax |
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Provider Business Mailing Address
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Address Line | 8035 E R L THORNTON FWY STE 243
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City | DALLAS
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State | TX
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Zip | 75228-7082
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Country | US
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Telephone | 214-272-8889
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Fax |
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | ALICIA MUHAMMAD
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Credential | LPC
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Telephone | 214-272-8889
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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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