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General NPI Number Information
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NPI Number | 1922646637
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Entity Type | Organization
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Legal Business Name | GRACESTONE COUNSELING PLLC
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 01/05/2020
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Provider Practice Location Address
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Address Line | 3608 PRESTON RD STE 146
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City | PLANO
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State | TX
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Zip | 75093-8640
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Country | US
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Telephone | 469-910-4410
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Fax |
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Provider Business Mailing Address
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Address Line | 3608 PRESTON RD STE 146
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City | PLANO
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State | TX
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Zip | 75093-8640
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Country | US
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Telephone | 469-910-4410
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | AMY FLEMING
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Credential | LPC
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Telephone | 469-910-4410
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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