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General NPI Number Information
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NPI Number | 1861055527
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Entity Type | Organization
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Legal Business Name | HARBOR OF HOPE COUNSELING & WELLNESS
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 4702 ROWLETT RD ST 101
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City | ROWLETT
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State | TX
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Zip | 75088
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Country | US
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Telephone | 214-766-9375
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Fax |
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Provider Business Mailing Address
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Address Line | 3006 BLAIR OAK DR
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City | ROWLETT
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State | TX
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Zip | 75089-1661
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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 | LPC, OWNER
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Name | MRS. EMILY MAYHEW
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Credential | LPC
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Telephone | 214-766-9375
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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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