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General NPI Number Information
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NPI Number | 1083250823
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Entity Type | Organization
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Legal Business Name | IVYHEALTH NETWORK PLLC
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 6371 PRESTON RD STE 120
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City | FRISCO
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State | TX
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Zip | 75034-9297
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Country | US
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Telephone | 866-489-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 6371 PRESTON RD STE 120
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City | FRISCO
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State | TX
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Zip | 75034-9297
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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
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Name | ALIYA SHERIFF
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Credential |
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Telephone | 866-489-7333
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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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 #8
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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