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General NPI Number Information
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NPI Number | 1013338649
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 12/28/2013
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1 CHISHOLM TRAIL RD STE 450
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City | ROUND ROCK
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State | TX
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Zip | 78681-5094
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Country | US
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Telephone | 512-961-5316
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CHISHOLM TRAIL RD STE 450
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City | ROUND ROCK
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State | TX
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Zip | 78681-5094
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Country | US
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Telephone | 512-961-5316
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRISTINE EVERITT
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Credential | CTRS
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Telephone | 512-234-3298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 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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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational 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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #9
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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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