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General NPI Number Information
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NPI Number | 1891084067
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Entity Type | Organization
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Legal Business Name | AMES COUNSELING AND FAMILY SERVICES
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 03/28/2011
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Provider Practice Location Address
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Address Line | 425 W SABINE ST
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City | CARTHAGE
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State | TX
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Zip | 75633-2455
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Country | US
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Telephone | 903-754-9094
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Fax | 903-822-4252
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Provider Business Mailing Address
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Address Line | PO BOX 696
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City | MOUNT ENTERPRISE
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State | TX
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Zip | 75681-0696
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Country | US
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Telephone | 903-754-9094
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Fax | 903-822-4252
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES CALLOWAY
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Credential |
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Telephone | 903-754-9094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 16448
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License Number State | TX
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