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General NPI Number Information
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NPI Number | 1972468072
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Entity Type | Organization
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Legal Business Name | RE:MIND COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 12/20/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 5749 PARK DR
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City | FORT WORTH
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State | TX
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Zip | 76179-5227
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Country | US
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Telephone | 469-927-4463
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Fax |
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Provider Business Mailing Address
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Address Line | 5749 PARK DR
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City | FORT WORTH
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State | TX
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Zip | 76179-5227
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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 | OWNER
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Name | VIONNETTE MALDONADO
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Credential | LPC
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Telephone | 787-205-3679
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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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