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General NPI Number Information
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NPI Number | 1922374347
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Entity Type | Organization
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Legal Business Name | WINDSTAR COUNSELING & CONSULTING SERVICES PLLC
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 5300 W ARKANSAS LN
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City | ARLINGTON
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State | TX
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Zip | 76016-1272
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Country | US
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Telephone | 817-875-6693
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Fax | 817-446-0826
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Provider Business Mailing Address
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Address Line | PO BOX 175195
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City | ARLINGTON
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State | TX
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Zip | 76003-5195
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Country | US
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Telephone | 817-875-6693
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Fax | 817-446-0826
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Authorized Official
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Title or Position | OWNER/CEO
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Name | STEVEN DEQUEANT
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Credential | LCSW
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Telephone | 817-875-6693
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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 |
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License Number State |
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