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General NPI Number Information
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NPI Number | 1851170732
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Entity Type | Organization
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Legal Business Name | RESOLVE COUNSELING GROUP
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 1560 E SOUTHLAKE BLVD STE 100Z
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6462
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Country | US
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Telephone | 940-208-7642
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Fax |
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Provider Business Mailing Address
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Address Line | 610 FM 2960
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City | WHITNEY
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State | TX
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Zip | 76692-4981
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Country | US
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Telephone | 940-208-7642
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Fax |
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Authorized Official
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Title or Position | OENER
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Name | RACHAEL MYERS
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Credential | LCSW
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Telephone | 940-208-7642
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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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