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General NPI Number Information
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NPI Number | 1992289946
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Entity Type | Organization
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Legal Business Name | JOYFUL HEARTS PLAY THERAPY & COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 09/15/2018
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Last Update Date | 09/15/2018
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Provider Practice Location Address
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Address Line | 2219 SAWDUST RD STE 1003
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City | SPRING
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State | TX
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Zip | 77380-2580
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Country | US
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Telephone | 346-291-5694
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Fax |
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Provider Business Mailing Address
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Address Line | 2219 SAWDUST RD STE 1003
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City | SPRING
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State | TX
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Zip | 77380-2580
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Country | US
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Telephone | 346-291-5694
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Fax |
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | MRS. AMY ELIZABETH DRURY
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Credential | M.A., LPC, RPT, NCC
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Telephone | 346-291-5694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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