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General NPI Number Information
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NPI Number | 1073407540
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Entity Type | Organization
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Legal Business Name | DOVETAIL MENTAL HEALTH, PLLC
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 4925 DAVIS BLVD
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-6875
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Country | US
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Telephone | 817-286-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 113 KIMMEL LN
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City | FORT WORTH
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State | TX
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Zip | 76131-2451
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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 | OWNER/THERAPIST
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Name | JOCELYN CADIZ
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Credential | LPC
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Telephone | 817-286-4264
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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 |
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License Number State |
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