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General NPI Number Information
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NPI Number | 1942084272
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Entity Type | Organization
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Legal Business Name | AUGUST MEDIATION AND COUNSELING SERVICES
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 1705 GENEVA LANE
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 214-216-1024
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 862006
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City | PLANO
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State | TX
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Zip | 75086-2006
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Country | US
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Telephone | 214-216-1024
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN CARSON
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Credential | MS, LPC-A, NCC
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Telephone | 972-979-5463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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