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General NPI Number Information
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NPI Number | 1093638165
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Entity Type | Individual
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Provider Name | SUZANNA DONOVAN
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Gender | Female
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 5 GROGANS PARK DR STE 112
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City | THE WOODLANDS
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State | TX
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Zip | 77380-2191
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Country | US
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Telephone | 832-699-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 39 W WOLF CABIN CIR
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City | SPRING
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State | TX
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Zip | 77389-4945
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Country | US
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Telephone | 361-406-8015
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 102027
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License Number State | TX
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