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General NPI Number Information
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NPI Number | 1992473425
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Entity Type | Organization
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Legal Business Name | VIBRANT SOUL COUNSELING & CONSULTING PLLC
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 1018 MARGATE CT
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City | PEARLAND
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State | TX
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Zip | 77584-2301
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Country | US
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Telephone | 281-685-2503
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 MARGATE CT
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City | PEARLAND
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State | TX
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Zip | 77584-2301
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Country | US
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Telephone | 281-685-2503
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Fax |
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Authorized Official
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Title or Position | OWNER, LEAD CLINICIAN
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Name | MRS. ANGELA NICHOLE TAYLOR
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Credential | MS, LPC
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Telephone | 281-685-2503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 226000000X
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Taxonomy Name | Recreational Therapist Assistant
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License Number |
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License Number State |
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Taxonomy #6
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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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