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General NPI Number Information
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NPI Number | 1093462665
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Entity Type | Organization
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Legal Business Name | SOUND HOUSE THERAPY PLLC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 4725 TEAL BEND BLVD # 1934
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City | FRESNO
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State | TX
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Zip | 77545-0106
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Country | US
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Telephone | 832-736-2367
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Fax |
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Provider Business Mailing Address
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Address Line | 4725 TEAL BEND BLVD # 1934
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City | FRESNO
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State | TX
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Zip | 77545-0106
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Country | US
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Telephone | 832-736-2367
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAYA LAVAUGHN REED
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Credential |
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Telephone | 832-736-2367
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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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