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General NPI Number Information
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NPI Number | 1104624600
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Entity Type | Organization
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Legal Business Name | VISIONARY MENTAL HEALTH
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 2501 PALMER HWY
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City | TEXAS CITY
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State | TX
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Zip | 77590-7069
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Country | US
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Telephone | 346-601-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 PALMER HWY
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City | TEXAS CITY
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State | TX
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Zip | 77590-7069
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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 | PAUL MERCIER
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Credential |
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Telephone | 346-601-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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