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General NPI Number Information
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NPI Number | 1043174543
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Entity Type | Organization
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Legal Business Name | HEALING REVELATIONS
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1101 SATELLITE VW UNIT 501
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City | ROUND ROCK
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State | TX
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Zip | 78665-1591
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Country | US
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Telephone | 512-222-6792
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Fax |
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Provider Business Mailing Address
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Address Line | 551 S INTERSTATE 35 STE 300-4
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City | ROUND ROCK
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State | TX
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Zip | 78664-2820
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Country | US
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Telephone | 512-222-6792
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSION COUNSELOR
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Name | AUBREY HARRIS
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Credential | MA, LPC
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Telephone | 512-222-6792
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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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