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General NPI Number Information
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NPI Number | 1982448411
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Entity Type | Organization
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Legal Business Name | ANCHOR OF HOPE COUNSELING PLLC
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 161 SUMMIT AVE STE SUITE200
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6470
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Country | US
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Telephone | 214-494-9779
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Fax |
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Provider Business Mailing Address
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Address Line | 3121 STONECROP TRL
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City | ARGYLE
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State | TX
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Zip | 76226-2423
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Country | US
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Telephone | 817-846-2426
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON RYAN LUGO
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Credential | LMFT
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Telephone | 817-846-2426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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