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General NPI Number Information
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NPI Number | 1922913904
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Entity Type | Organization
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Legal Business Name | HEALING GRACE COUNSELING GROUP LLC
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 2960 LONG PRAIRIE RD
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4845
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Country | US
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Telephone | 940-268-5406
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9864
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City | LONGVIEW
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State | TX
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Zip | 75608-9864
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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 | CO-OWNER
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Name | MR. DAVID MILLER
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Credential | LPC
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Telephone | 903-402-5663
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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 |
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