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General NPI Number Information
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NPI Number | 1881330611
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Entity Type | Organization
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Legal Business Name | HARTSELL AND HARTSELL MENTAL HEALTH COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 6048 S DURANGO DR STE 115
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City | LAS VEGAS
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State | NV
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Zip | 89113-1781
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Country | US
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Telephone | 702-300-2486
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Fax | 702-710-6735
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Provider Business Mailing Address
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Address Line | 2657 WINDMILL PKWY # 317
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City | HENDERSON
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State | NV
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Zip | 89074-3384
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Country | US
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Telephone | 702-300-2486
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Fax | 702-710-6735
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY HARTSELL
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Credential | PSYD., LMFT
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Telephone | 702-300-2486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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