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General NPI Number Information
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NPI Number | 1942991286
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Entity Type | Organization
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Legal Business Name | RECOVER TOGETHER COUNSELING LLC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 126 W MALL DR
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City | CORSICANA
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State | TX
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Zip | 75110-3164
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Country | US
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Telephone | 903-229-4214
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Fax |
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Provider Business Mailing Address
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Address Line | 1541 SE COUNTY ROAD 3137
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City | CORSICANA
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State | TX
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Zip | 75109-0692
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Country | US
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Telephone | 903-267-1955
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | SAMANTHA JO BURKS
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Credential | LCDC
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Telephone | 903-267-1955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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