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General NPI Number Information
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NPI Number | 1891173134
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 108 N JACKSON RD STE 11
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City | EDINBURG
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State | TX
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Zip | 78541-3693
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Country | US
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Telephone | 956-222-7662
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Fax | 844-270-5472
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Provider Business Mailing Address
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Address Line | 15001 DAVIS RD
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City | EDCOUCH
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State | TX
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Zip | 78538-3467
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Country | US
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Telephone | 956-222-7662
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMEBER
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Name | MARIA ANTONIETA AMAYA
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Credential | M.S., LPC
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Telephone | 956-222-7662
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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 | 69774
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License Number State | TX
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