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NPI 1104572296

NPI 1104572296 : HILL COUNTRY ANXIETY, PLLC : CEDAR PARK, TX

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General NPI Number Information
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    NPI Number           |    1104572296
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    Entity Type          |    Organization 
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    Legal Business Name  |    HILL COUNTRY ANXIETY, PLLC 
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Dates
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    Enumeration Date     |    02/27/2022
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    Last Update Date     |    12/03/2024
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Provider Practice Location Address
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    Address Line         |    1210 COTTONWOOD CREEK TRL STE 510 
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    City                 |    CEDAR PARK
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    State                |    TX
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    Zip                  |    78613-2689
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    Country              |    US
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    Telephone            |    512-528-3131
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    Fax                  |    512-298-0485
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Provider Business Mailing Address
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    Address Line         |    1210 COTTONWOOD CREEK TRL STE 510 
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    City                 |    CEDAR PARK
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    State                |    TX
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    Zip                  |    78613-2689
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    Country              |    US
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    Telephone            |    512-528-3131
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    Fax                  |    512-598-9142
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Authorized Official
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    Title or Position    |    PRACTICE MANAGER
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    Name                 |     JEREMY  DILLON 
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    Credential           |    
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    Telephone            |    512-528-3131
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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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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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