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General NPI Number Information
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NPI Number | 1881228435
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Entity Type | Organization
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Legal Business Name | ADDED PEACE
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Dates
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Enumeration Date | 02/22/2020
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Last Update Date | 02/22/2020
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Provider Practice Location Address
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Address Line | 820 E WINTERGREEN RD
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City | CEDAR HILL
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State | TX
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Zip | 75104-1408
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Country | US
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Telephone | 214-960-3108
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1613
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City | RED OAK
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State | TX
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Zip | 75154-1563
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Country | US
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Telephone | 214-960-3108
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Fax |
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Authorized Official
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Title or Position | PARTNER/LPC
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Name | HELENA DAVIS
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Credential |
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Telephone | 214-960-3108
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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 |
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License Number State |
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