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General NPI Number Information
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NPI Number | 1083326094
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Entity Type | Organization
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Legal Business Name | DIRECT COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 1415 W 51ST ST UNIT 1
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City | AUSTIN
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State | TX
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Zip | 78756-2659
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Country | US
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Telephone | 512-201-4501
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Fax | 512-201-4502
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Provider Business Mailing Address
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Address Line | 10290 ALLIANCE RD
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City | BLUE ASH
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State | OH
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Zip | 45242-4710
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Country | US
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Telephone | 513-792-5100
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TEJHAS VYASS
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Credential |
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Telephone | 732-993-4599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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 #9
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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