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General NPI Number Information
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NPI Number | 1851612980
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Entity Type | Organization
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Legal Business Name | FOCUS FOR LIVING, PLLC
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 301 E RENFRO ST SUITE 201
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City | BURLESON
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State | TX
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Zip | 76028-3918
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Country | US
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Telephone | 817-295-9826
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E RENFRO ST SUITE 201
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City | BURLESON
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State | TX
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Zip | 76028-3918
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Country | US
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Telephone | 817-295-9826
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CLINICAL DIRECTOR
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Name | DR. WESLEY DAVID CENTER
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Credential | LPC
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Telephone | 817-915-4371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61418
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 61418
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 61418
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License Number State | TX
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