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General NPI Number Information
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NPI Number | 1003727009
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Entity Type | Organization
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Legal Business Name | HILLSIDE INTEGRATED THERAPY LLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 111 W 1ST ST
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City | CHANDLER
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State | OK
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Zip | 74834-2004
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Country | US
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Telephone | 405-588-8854
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Fax |
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Provider Business Mailing Address
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Address Line | 345354 E 960 RD
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City | CHANDLER
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State | OK
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Zip | 74834-9258
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Country | US
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Telephone | 405-588-8854
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | CHRISTY MARTIN
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Credential | LPC
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Telephone | 602-316-5802
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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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