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General NPI Number Information
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NPI Number | 1043500333
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Entity Type | Organization
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Legal Business Name | CHANGING WAYS, INC
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 1040 N WALNUT AVE SUITE D
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-5312
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Country | US
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Telephone | 830-643-1445
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Fax | 830-643-1451
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Provider Business Mailing Address
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Address Line | 1040 N WALNUT AVE SUITE D
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-5312
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Country | US
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Telephone | 830-643-1445
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Fax | 830-643-1451
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MRS. YVONNE LORETTA HEIM
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Credential | LCDC
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Telephone | 830-643-1445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 201275
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10979
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License Number State | TX
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