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General NPI Number Information
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NPI Number | 1982361762
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Entity Type | Organization
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Legal Business Name | FOCUS BEACH COUNSELING, PLLC
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 8105 RASOR BLVD STE 238
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City | PLANO
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State | TX
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Zip | 75024-0154
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Country | US
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Telephone | 214-646-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 6610 HILLTOP TRL
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City | SACHSE
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State | TX
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Zip | 75048-2846
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Country | US
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Telephone | 214-646-5778
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Fax |
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Authorized Official
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Title or Position | GOVERNING PERSON
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Name | REBEKAH JOHNSON
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Credential | LPC
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Telephone | 214-646-5778
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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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