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General NPI Number Information
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NPI Number | 1982256228
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Entity Type | Organization
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Legal Business Name | KENDRED WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 1000 CYPRESS CREEK PKWY STE 118
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City | HOUSTON
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State | TX
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Zip | 77090-2535
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Country | US
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Telephone | 713-597-2377
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Fax |
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Provider Business Mailing Address
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Address Line | 23347 SAWMILL PASS
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City | SPRING
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State | TX
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Zip | 77373-8669
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Country | US
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Telephone | 832-336-1642
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | MS. KIMBERLY ROSHAWN HOPKINS
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Credential | M.ED, LPC
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Telephone | 832-336-1642
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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 |
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License Number State |
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