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General NPI Number Information
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NPI Number | 1962125526
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Entity Type | Organization
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Legal Business Name | HOPE HARBOR COUNSELING & FAMILY THERAPY, PLLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 05/04/2025
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Provider Practice Location Address
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Address Line | 4917 GOLDEN TRIANGLE BLVD STE 441
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City | FORT WORTH
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State | TX
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Zip | 76244-4480
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Country | US
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Telephone | 817-201-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 4917 GOLDEN TRIANGLE BLVD STE 441
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City | FORT WORTH
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State | TX
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Zip | 76244-4673
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Country | US
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Telephone | 817-201-2444
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/THERAPIST
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Name | MARA EDMUNDS
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Credential |
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Telephone | 817-201-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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