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General NPI Number Information
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NPI Number | 1013773589
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Entity Type | Organization
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Legal Business Name | 3H BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 10327 WAVERUNNER
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City | CONVERSE
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State | TX
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Zip | 78109-4416
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Country | US
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Telephone | 850-264-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 902 KITTY HAWK RD STE 107-146
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-3825
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Country | US
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Telephone | 210-570-0414
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | LEAH BROWN
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Credential | LCSW
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Telephone | 210-570-0414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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