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General NPI Number Information
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NPI Number | 1104246214
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Entity Type | Organization
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Legal Business Name | ZERENITY WELLNESS COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 1719 E PLUM ST
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City | LAREDO
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State | TX
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Zip | 78043-1026
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Country | US
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Telephone | 956-206-0926
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Fax |
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Provider Business Mailing Address
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Address Line | 1719 E PLUM ST
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City | LAREDO
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State | TX
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Zip | 78043-1026
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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 | OWNER
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Name | MRS. ZONIA G. GARZA
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Credential | LPC
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Telephone | 956-821-1479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 60212
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License Number State | TX
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