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General NPI Number Information
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NPI Number | 1114267879
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Entity Type | Organization
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Legal Business Name | MEANINGFUL BALANCE
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Dates
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Enumeration Date | 02/18/2013
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 5959 WESTHEIMER RD SUITE #243
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City | HOUSTON
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State | TX
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Zip | 77057-7622
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Country | US
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Telephone | 713-851-0823
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Fax |
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Provider Business Mailing Address
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Address Line | 5959 WESTHEIMER RD SUITE #243
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City | HOUSTON
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State | TX
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Zip | 77057-7622
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Country | US
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Telephone | 713-851-0823
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. ADRIAN ERNESTO YAM
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Credential | LPC-S
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Telephone | 832-251-7629
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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 | 58930
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License Number State | TX
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