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General NPI Number Information
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NPI Number | 1891841003
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Entity Type | Organization
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Legal Business Name | RUSH CREEK COUNSELING CENTER
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300 SW GREEN OAKS BLVD
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City | ARLINGTON
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State | TX
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Zip | 76017-3708
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Country | US
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Telephone | 187-468-7729
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Fax | 817-701-0379
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Provider Business Mailing Address
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Address Line | 2300 SW GREEN OAKS BLVD
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City | ARLINGTON
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State | TX
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Zip | 76017-3708
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Country | US
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Telephone | 187-468-7729
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Fax | 817-701-0379
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Authorized Official
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Title or Position | DIRECTOR OF COUNSELING
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Name | MRS. SHARON LYNN GOOD
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Credential | M.A., L.P.C.
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Telephone | 817-468-7729
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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 | 15847
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License Number State | TX
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