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General NPI Number Information
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NPI Number | 1972821544
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Entity Type | Individual
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Provider Name | SARAH SHIRES LPC
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Gender | Female
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 114 NACOGDOCHES ST STE H
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City | CENTER
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State | TX
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Zip | 75935-3852
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Country | US
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Telephone | 936-332-9929
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Fax |
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Provider Business Mailing Address
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Address Line | 401 HENRIETTA RD
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City | CENTER
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State | TX
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Zip | 75935-3115
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 64156
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64156
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License Number State | TX
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