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General NPI Number Information
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NPI Number | 1871150201
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Entity Type | Organization
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Legal Business Name | MAGNOLIA COUNSELING OF PEARLAND
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 11200 BROADWAY ST STE 2743
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City | PEARLAND
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State | TX
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Zip | 77584-9787
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Country | US
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Telephone | 281-937-4139
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Fax |
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Provider Business Mailing Address
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Address Line | 11200 BROADWAY ST STE 2743
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City | PEARLAND
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State | TX
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Zip | 77584-9787
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Country | US
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Telephone | 281-937-4139
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JULIE UNG
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Credential | MA, LMFT
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Telephone | 281-937-4139
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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