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General NPI Number Information
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NPI Number | 1912483199
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Entity Type | Organization
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Legal Business Name | MIND OVER MATTER PROFESSIONAL COUNSELING, PLLC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 1319 LIVE OAK ST
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City | HOUSTON
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State | TX
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Zip | 77003-4408
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Country | US
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Telephone | 832-464-8182
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Fax |
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Provider Business Mailing Address
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Address Line | 435 MURPHY RD STE B1
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City | STAFFORD
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State | TX
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Zip | 77477-5420
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/ THERAPIST
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Name | ERICKA FERRIAS
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Credential | LPC
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Telephone | 832-464-8182
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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 |
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License Number State | TX
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