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General NPI Number Information
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NPI Number | 1033816939
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH IN COLOR, PLLC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 5625 WOODROW BEAN STE 127
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City | EL PASO
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State | TX
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Zip | 79924-4144
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Country | US
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Telephone | 813-508-8826
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12604
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City | EL PASO
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State | TX
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Zip | 79913-0604
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Country | US
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Telephone | 813-508-8826
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MELISSA COLOR LEHTO
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Credential | LPC-A
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Telephone | 813-508-8826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 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 #3
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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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