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General NPI Number Information
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NPI Number | 1053844605
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Entity Type | Individual
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Provider Name | LASHONTA EDWARDS LPC-ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 505 N SAM HOUSTON PKWY E SUITE 190 D
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City | HOUSTON
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State | TX
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Zip | 77060-4018
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Country | US
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Telephone | 832-257-3318
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Fax |
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Provider Business Mailing Address
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Address Line | 2217 TREY ROGILLIOS WAY
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City | CONROE
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State | TX
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Zip | 77304-1634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 96280
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License Number State | TX
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