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General NPI Number Information
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NPI Number | 1093223992
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE BEHAVIORAL HEALTH AND WELLNESS, INC
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Dates
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Enumeration Date | 01/14/2018
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Last Update Date | 01/14/2018
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Provider Practice Location Address
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Address Line | 25222 NORTHWEST FWY 141
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City | CYPRESS
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State | TX
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Zip | 77429-1030
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Country | US
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Telephone | 832-914-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 25222 NORTHWEST FWY 141
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City | CYPRESS
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State | TX
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Zip | 77429-1030
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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 | PRESIDENT
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Name | CATINIA FARRINGTON
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Credential | MA
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Telephone | 832-914-7510
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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 | 37565
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License Number State | TX
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