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General NPI Number Information
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NPI Number | 1922462837
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Entity Type | Organization
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Legal Business Name | STEPHANIE H. GREENBERG, PLLC
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 03/24/2017
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Provider Practice Location Address
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Address Line | 4514 COLE AVE SUITE 805
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City | DALLAS
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State | TX
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Zip | 75205-5412
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Country | US
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Telephone | 469-708-7614
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Fax |
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Provider Business Mailing Address
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Address Line | 4634 W AMHERST AVE
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City | DALLAS
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State | TX
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Zip | 75209-3126
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Country | US
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Telephone | 214-766-1542
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE H. GREENBERG
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Credential | M.S., LPC, LCDC
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Telephone | 214-766-1542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 73609
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13234
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 73609
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 73609
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License Number State | TX
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