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General NPI Number Information
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NPI Number | 1083579478
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Entity Type | Organization
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Legal Business Name | ALTA HEALTH, LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 14135 MIDWAY RD STE G100
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City | ADDISON
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State | TX
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Zip | 75001-3611
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Country | US
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Telephone | 210-237-7163
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Fax |
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Provider Business Mailing Address
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Address Line | 501 S AUSTIN AVE UNIT 1410
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City | GEORGETOWN
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State | TX
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Zip | 78626-5640
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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 | CEO
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Name | STEVE THOMASON
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Credential | LMSW, LCDC
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Telephone | 737-444-1239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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